KEITH LYLE CLARK

SAN FRANCISCO, CA
NPI1376811018
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-12-08
Last Update Date2014-03-19
Business Address
Mr. KEITH LYLE CLARK MA
1500 FRANKLIN ST
SAN FRANCISCO, CA 94109-4523
Phone number: 415-476-4980
Mailing Address
Mr. KEITH LYLE CLARK MA
1500 FRANKLIN ST
SAN FRANCISCO, CA 94109-4523
Phone number: 415-255-5852