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1881047124
STACY CLARK
LAGUNA HILLS, CA
NPI
1881047124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT35323)
Enumeration Date
2016-07-21
Last Update Date
2016-07-21
Business Address
-- STACY CLARK MFT
24451 HEALTH CENTER DR
LAGUNA HILLS, CA 92653-3689
Phone number: 949-452-3569
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Mailing Address
-- STACY CLARK MFT
301 VICTORIA ST
COSTA MESA, CA 92627-1995
Phone number:
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