DIANE FAITH CLARK

MISSION VIEJO, CA
NPI1922563139
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TS0200X Psychologist, School
(Licence: CA  3014)
Enumeration Date2019-02-01
Last Update Date2019-02-01
Business Address
Dr. DIANE FAITH CLARK LEP 3014
25631 PETER A HARTMAN WAY
MISSION VIEJO, CA 92691-3142
Phone number: 949-580-3218
Mailing Address
Dr. DIANE FAITH CLARK LEP 3014
25631 PETER A HARTMAN WAY
MISSION VIEJO, CA 92691-3142
Phone number: 949-580-3218