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1902072911
SUSAN ELIZABETH CLARK
SAN DIEGO, CA
NPI
1902072911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSB33147)
Enumeration Date
2008-04-30
Last Update Date
2008-04-30
Business Address
Ms. SUSAN ELIZABETH CLARK M.A.
3020 CHILDRENS WAY # MC5014
SAN DIEGO, CA 92123-4223
Phone number: 858-576-1700
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Mailing Address
Ms. SUSAN ELIZABETH CLARK M.A.
3020 CHILDRENS WAY # MC5014
SAN DIEGO, CA 92123-4223
Phone number: 858-576-1700
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