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1255789269
SUSAN KAREN CLARK
RIVERSIDE, CA
NPI
1255789269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Additional Taxonomies
101YP2500X Counselor, Professional
Enumeration Date
2016-05-31
Last Update Date
2016-05-31
Business Address
Mrs. SUSAN KAREN CLARK
3075 MYERS ST
RIVERSIDE, CA 92503-5525
Phone number: 951-358-4625
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Mailing Address
Mrs. SUSAN KAREN CLARK
3075 MYERS ST
RIVERSIDE, CA 92503-5525
Phone number: 951-358-4625
Copy
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