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1801136080
STEPHEN CLARK
LOS ANGELES, CA
NPI
1801136080
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-02-25
Last Update Date
2013-02-25
Business Address
Mr. STEPHEN CLARK
2020 TAFT AVE
LOS ANGELES, CA 90068-3623
Phone number: 310-617-7865
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Mailing Address
Mr. STEPHEN CLARK
2020 TAFT AVE
LOS ANGELES, CA 90068-3623
Phone number:
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