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1902478662
ANNIE CLARK
OAKLAND, CA
NPI
1902478662
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-07-13
Last Update Date
2021-07-13
Business Address
Ms. ANNIE CLARK
3408 ANDOVER ST
OAKLAND, CA 94609-2817
Phone number: 510-547-1531
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Mailing Address
Ms. ANNIE CLARK
2000 CAMANCHE RD SPC 71
IONE, CA 95640-9428
Phone number:
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