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1881603876
KEVIN LEWIS CLARK
PALO ALTO, CA
NPI
1881603876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2006-08-07
Last Update Date
2007-07-08
Business Address
-- KEVIN LEWIS CLARK MSW
3801 MIRANDA AVE
PALO ALTO, CA 94304
Phone number: 650-493-5000
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Mailing Address
-- KEVIN LEWIS CLARK MSW
433 CALEDONIA ST
SANTA CRUZ, CA 95062-3311
Phone number: 831-458-5356
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