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1407949662
VIRGINIA LOUISE CLARK
VENICE, CA
NPI
1407949662
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Other Name
VIRGINIA LOUISE HEFFERNAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC5298)
Enumeration Date
2006-10-02
Last Update Date
2007-07-08
Business Address
Ms. VIRGINIA LOUISE CLARK Ph D MFT
1107 ABBOT KINNEY BLVD
VENICE, CA 90291
Phone number: 310-281-6059
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Mailing Address
Ms. VIRGINIA LOUISE CLARK Ph D MFT
1107 ABBOT KINNEY BLVD
VENICE, CA 90291
Phone number: 310-281-6059
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