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1689968489
KELLY LYNN CLARK
UKIAH, CA
NPI
1689968489
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2011-06-09
Last Update Date
2011-06-09
Business Address
MS. KELLY LYNN CLARK
290 E GOBBI ST
UKIAH, CA 95482-5559
Phone number: 707-463-3300
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Mailing Address
MS. KELLY LYNN CLARK
290 E GOBBI ST
UKIAH, CA 95482-5559
Phone number: 707-463-3300
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