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1164078069
TINA ELIZABETH CLARK
TORRANCE, CA
NPI
1164078069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 21939)
Enumeration Date
2019-08-15
Last Update Date
2019-08-15
Business Address
TINA ELIZABETH CLARK LCSW
23700 CAMINO DEL SOL
TORRANCE, CA 90505-5000
Phone number: 310-530-1151
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Mailing Address
TINA ELIZABETH CLARK LCSW
23700 CAMINO DEL SOL
TORRANCE, CA 90505-5000
Phone number: 310-530-1151
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