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1770893786
JENNIFER A CLARK
PETALUMA, CA
NPI
1770893786
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA ASW19290)
Enumeration Date
2010-10-13
Last Update Date
2021-12-30
Business Address
-- JENNIFER A CLARK LCSW
1301 SOUTHPOINT BLVD
PETALUMA, CA 94954-6867
Phone number: 707-559-7500
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Mailing Address
-- JENNIFER A CLARK LCSW
1301 SOUTHPOINT BLVD
PETALUMA, CA 94954-6867
Phone number: 707-559-7500
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