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1457651150
CLARK DAVID EDMOND
MURRIETA, CA
NPI
1457651150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 25441)
Enumeration Date
2010-10-27
Last Update Date
2013-05-06
Business Address
-- CLARK DAVID EDMOND LCSW
24885 WHITEWOOD RD SUITE 102
MURRIETA, CA 92563-2014
Phone number: 951-676-5154
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Mailing Address
-- CLARK DAVID EDMOND LCSW
24885 WHITEWOOD RD SUITE 102
MURRIETA, CA 92563-2014
Phone number: 951-676-5154
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