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1679173710
ERIC DEON CLARK
SAN FRANCISCO, CA
NPI
1679173710
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 9444)
Enumeration Date
2020-10-28
Last Update Date
2020-10-28
Business Address
ERIC DEON CLARK SUDCC
433 TURK ST
SAN FRANCISCO, CA 94102-3329
Phone number: 415-928-7800
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Mailing Address
ERIC DEON CLARK SUDCC
433 TURK ST
SAN FRANCISCO, CA 94102-3329
Phone number: 415-928-7800
Copy
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