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1871612945
CAROLYN L LATTA-CLARK
SAN BERNARDINO, CA
NPI
1871612945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 42636)
Enumeration Date
2007-03-28
Last Update Date
2012-04-23
Business Address
Ms. CAROLYN L LATTA-CLARK MFT
780 E GILBERT ST
SAN BERNARDINO, CA 92415-1003
Phone number: 909-387-7380
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Mailing Address
Ms. CAROLYN L LATTA-CLARK MFT
12630 PERRIS ST
OAK HILLS, CA 92344-7859
Phone number: 760-949-6001
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