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1609050913
KIMBERLY IRENE CLARK
COSTA MESA, CA
NPI
1609050913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 40815)
Enumeration Date
2007-12-21
Last Update Date
2007-12-21
Business Address
Mrs. KIMBERLY IRENE CLARK MFT
3077 COOLIDGE AVE
COSTA MESA, CA 92626-2809
Phone number: 714-614-7382
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Mailing Address
Mrs. KIMBERLY IRENE CLARK MFT
3077 COOLIDGE AVE
COSTA MESA, CA 92626-2809
Phone number: 714-614-7382
Copy
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