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1326070418
FAYE M CLARK
SACRAMENTO, CA
NPI
1326070418
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT 35154)
Enumeration Date
2006-07-07
Last Update Date
2007-07-08
Business Address
-- FAYE M CLARK MFT
4875 BROADWAY SUITE 125
SACRAMENTO, CA 95820-1500
Phone number: 916-875-1055
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Mailing Address
-- FAYE M CLARK MFT
952 KEKIN ST
SOUTH LAKE TAHOE, CA 96150-5154
Phone number: 530-558-5139
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