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1851740724
JONATHAN J CLARK
LONG BEACH, CA
NPI
1851740724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW13429)
Enumeration Date
2016-06-10
Last Update Date
2016-06-10
Business Address
Mr. JONATHAN J CLARK LCSW
5901 E 7TH ST
LONG BEACH, CA 90822-5201
Phone number: 562-826-8000
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Mailing Address
Mr. JONATHAN J CLARK LCSW
PO BOX 5571
GARDEN GROVE, CA 92846-0571
Phone number: 941-626-2019
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