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1205377363
DANIELLE CLARK
RIVERSIDE, CA
NPI
1205377363
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-03-09
Last Update Date
2017-03-09
Business Address
-- DANIELLE CLARK
3576 ARLINGTON AVE STE 102
RIVERSIDE, CA 92506-3907
Phone number: 951-782-9577
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Mailing Address
-- DANIELLE CLARK
6366 ESTRELA LN
MIRA LOMA, CA 91752-7311
Phone number: 951-285-4402
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