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1689812265
GRANT DAVID CLARKE
FULLERTON, CA
NPI
1689812265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS24617)
Enumeration Date
2009-02-04
Last Update Date
2020-07-28
Business Address
Mr. GRANT DAVID CLARKE LCSW
140 E COMMONWEALTH AVE STE 101
FULLERTON, CA 92832-1905
Phone number: 714-773-4111
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Mailing Address
Mr. GRANT DAVID CLARKE LCSW
1925 DALY ST 2ND FLOOR
LOS ANGELES, CA 90031-3309
Phone number: 323-226-4448
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