FLORENCE TACY CLARK

ANTIOCH, CA
NPI1386857670
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-05-07
Last Update Date2008-02-05
Business Address
-- FLORENCE TACY CLARK
1915 D ST
ANTIOCH, CA 94509-2571
Phone number: 925-754-3673
Mailing Address
-- FLORENCE TACY CLARK
1915 D ST
ANTIOCH, CA 94509-2571
Phone number: 925-754-3673
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