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1508282385
CLARENCE ALLEY THOMPSON
VENICE, CA
NPI
1508282385
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MA MFC 28772)
Enumeration Date
2014-03-17
Last Update Date
2014-03-17
Business Address
Mr. CLARENCE ALLEY THOMPSON M.F.C.C.
225 4TH AVE #203
VENICE, CA 90291-8605
Phone number: 310-396-1716
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Mailing Address
Mr. CLARENCE ALLEY THOMPSON M.F.C.C.
225 4TH AVE #203
VENICE, CA 90291-8605
Phone number: 310-396-1716
Copy
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