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1588355986
MARIANA MARISELA CLARK
TEMPE, AZ
NPI
1588355986
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LAC-19072)
Enumeration Date
2023-05-16
Last Update Date
2023-05-16
Business Address
MARIANA MARISELA CLARK MA, LAC
4515 S MCCLINTOCK DR STE 114
TEMPE, AZ 85282-7381
Phone number: 480-641-1165
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Mailing Address
MARIANA MARISELA CLARK MA, LAC
300 E COMMONWEALTH AVE APT 124
CHANDLER, AZ 85225-8515
Phone number: 915-260-0456
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