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1891986741
DIANA MARIA CLARK
TUSTIN, CA
NPI
1891986741
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Former Name
DIANA MARIA MACEDO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 81829)
Enumeration Date
2007-08-06
Last Update Date
2024-08-20
Business Address
Mrs. DIANA MARIA CLARK
18002 IRVINE BLVD STE 202F
TUSTIN, CA 92780-3322
Phone number: 657-205-6611
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Mailing Address
Mrs. DIANA MARIA CLARK
18002 IRVINE BLVD STE 202F
TUSTIN, CA 92780-3322
Phone number: 714-331-8477
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