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1558600213
BROOKE DANIELLE CLARK
LAKE VIEW TERRACE, CA
NPI
1558600213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA IMF 71502)
Enumeration Date
2013-01-31
Last Update Date
2013-02-07
Business Address
-- BROOKE DANIELLE CLARK PPS, MFTI
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342-6506
Phone number: 818-686-3000
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Mailing Address
-- BROOKE DANIELLE CLARK PPS, MFTI
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342-6506
Phone number:
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