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1578231197
COLLEEN CLARK
FAIR OAKS, CA
NPI
1578231197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 100636)
Enumeration Date
2021-08-30
Last Update Date
2021-08-30
Business Address
COLLEEN CLARK MSW, ASW
10235 FAIR OAKS BLVD STE 203
FAIR OAKS, CA 95628-7166
Phone number: 916-426-2757
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Mailing Address
COLLEEN CLARK MSW, ASW
PO BOX 1431
FAIR OAKS, CA 95628-1431
Phone number:
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