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1154703015
TRACEY CLARK
FULLERTON, CA
NPI
1154703015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 53834)
Enumeration Date
2015-06-26
Last Update Date
2016-12-09
Business Address
-- TRACEY CLARK M.A., LMFT
1457 E CHAPMAN AVE
FULLERTON, CA 92831-3912
Phone number: 714-655-5371
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Mailing Address
-- TRACEY CLARK M.A., LMFT
1457 E CHAPMAN AVE
FULLERTON, CA 92831-3912
Phone number: 714-655-5371
Copy
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