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1487233144
MICHELLE ALICIA CLARK
SAN DIEGO, CA
NPI
1487233144
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2021-04-07
Last Update Date
2023-02-07
Business Address
MICHELLE ALICIA CLARK
2667 CAMINO DEL RIO S STE 102
SAN DIEGO, CA 92108-3763
Phone number: 619-782-0700
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Mailing Address
MICHELLE ALICIA CLARK
8030 LA MESA BLVD
LA MESA, CA 91942-0335
Phone number: 619-782-0700
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