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1679623284
CLARK STANFORD GROVE
SAN FRANCISCO, CA
NPI
1679623284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA psy13469)
Enumeration Date
2007-01-12
Last Update Date
2007-07-08
Business Address
-- CLARK STANFORD GROVE PhD
1902 WEBSTER ST
SAN FRANCISCO, CA 94115-5800
Phone number: 415-923-6760
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Mailing Address
-- CLARK STANFORD GROVE PhD
1902 WEBSTER ST
SAN FRANCISCO, CA 94115-5800
Phone number: 415-923-6760
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