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1992968879
RICHARD ALEXANDER CLARK
LOS ANGELES, CA
NPI
1992968879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-07-09
Last Update Date
2008-07-09
Business Address
-- RICHARD ALEXANDER CLARK
751 W WASHINGTON BLVD
LOS ANGELES, CA 90015-4100
Phone number: 213-741-1084
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Mailing Address
-- RICHARD ALEXANDER CLARK
751 W WASHINGTON BLVD
LOS ANGELES, CA 90015-4100
Phone number: 213-741-1084
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