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1376811018
KEITH LYLE CLARK
SAN FRANCISCO, CA
NPI
1376811018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-12-08
Last Update Date
2014-03-19
Business Address
Mr. KEITH LYLE CLARK MA
1500 FRANKLIN ST
SAN FRANCISCO, CA 94109-4523
Phone number: 415-476-4980
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Mailing Address
Mr. KEITH LYLE CLARK MA
1500 FRANKLIN ST
SAN FRANCISCO, CA 94109-4523
Phone number: 415-255-5852
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