GLEN ANTONIO CLARK

SAN FRANCISCO, CA
NPI1952585218
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-12-21
Last Update Date2018-10-24
Business Address
Mr. GLEN ANTONIO CLARK
1301 PIERCE ST.
SAN FRANCISCO, CA 94115
Phone number: 415-563-8200
Mailing Address
Mr. GLEN ANTONIO CLARK
1153 OAK ST.
SAN FRANCISCO, CA 94117
Phone number: 415-431-9000
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