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1548742141
CRYSTAL DENISE CLARK
LOS ANGELES, CA
NPI
1548742141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW102353)
Enumeration Date
2018-08-30
Last Update Date
2023-11-28
Business Address
CRYSTAL DENISE CLARK
840 N AVENUE 66
LOS ANGELES, CA 90042-1508
Phone number: 310-404-6112
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Mailing Address
CRYSTAL DENISE CLARK
PO BOX 272
MANHATTAN BEACH, CA 90267-0272
Phone number: 310-404-6112
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