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1174840789
JEFFRY RUSSELL CLARK
PALO ALTO, CA
NPI
1174840789
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Professional Name
JEFFRY RUSSELL CLARK
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA MFT 18251)
Enumeration Date
2010-04-23
Last Update Date
2010-04-23
Business Address
Dr. JEFFRY RUSSELL CLARK MFC
220 S CALIFORNIA AVE STE 206
PALO ALTO, CA 94306-1636
Phone number: 650-322-4944
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Mailing Address
Dr. JEFFRY RUSSELL CLARK MFC
220 S. CALIFORNIA AVE., SUITE 206
PALO ALTO, CA 94306
Phone number: 650-322-4944
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