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1912038589
LON THOMAS CLARK
REDDING, CA
NPI
1912038589
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 38873)
Enumeration Date
2007-03-08
Last Update Date
2007-07-08
Business Address
Dr. LON THOMAS CLARK MFT
2400 WASHINGTON AVE
REDDING, CA 96001-2832
Phone number: 530-247-3342
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Mailing Address
Dr. LON THOMAS CLARK MFT
PO BOX 109
SHINGLETOWN, CA 96088
Phone number: 530-949-6394
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