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1760556583
TANISHA D CLARKE
LOS GATOS, CA
NPI
1760556583
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS21730)
Enumeration Date
2006-11-20
Last Update Date
2007-07-08
Business Address
Ms. TANISHA D CLARKE LCSW
499 LOMA ALTA AVE
LOS GATOS, CA 95030-6227
Phone number: 408-335-1937
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Mailing Address
Ms. TANISHA D CLARKE LCSW
499 LOMA ALTA AVE
LOS GATOS, CA 95030-6227
Phone number:
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