JACK CLARK

FRESNO, CA
NPI1477799112
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-12-31
Last Update Date2008-12-31
Business Address
-- JACK CLARK
4411 N CEDAR AVE
FRESNO, CA 93726-2538
Phone number: 559-248-1548
Mailing Address
-- JACK CLARK
830 WEST AVE
SANGER, CA 93657-2849
Phone number: 559-248-1548
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