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1538414149
KANDIS CLARK
CAMARILLO, CA
NPI
1538414149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-07-19
Last Update Date
2012-07-19
Business Address
-- KANDIS CLARK
1756 S LEWIS RD
CAMARILLO, CA 93012-8520
Phone number: 805-642-7033
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Mailing Address
-- KANDIS CLARK
261 N DOS CAMINOS AVE # 261
VENTURA, CA 93003-1646
Phone number: 805-642-7033
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