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1821164807
DYAN LEE CLARKE
ROSEVILLE, CA
NPI
1821164807
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA mft37633)
Enumeration Date
2006-11-28
Last Update Date
2007-07-08
Business Address
Ms. DYAN LEE CLARKE MFT
609 OAK ST
ROSEVILLE, CA 95678-3245
Phone number: 916-789-2293
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Mailing Address
Ms. DYAN LEE CLARKE MFT
3513 FIELDCREST CT
ROCKLIN, CA 95765-4823
Phone number: 916-632-1356
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