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1457688384
THERESA CLARK
SEBASTOPOL, CA
NPI
1457688384
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 47533)
Enumeration Date
2009-11-13
Last Update Date
2016-07-08
Business Address
-- THERESA CLARK
1800 GRAVENSTEIN HWY N
SEBASTOPOL, CA 95472-2607
Phone number: 707-634-9034
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Mailing Address
-- THERESA CLARK
1800 GRAVENSTEIN HWY N
SEBASTOPOL, CA 95472-2607
Phone number: 707-634-9063
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