Beth A Clark

NPI 1235494998 - Counselor - 101YM0800X

NPI Details
NPI 1235494998
Gender Female
Enumeration Date 07/09/2012
Last Updated 07/09/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
4175 LAKESIDE DR
RICHMOND CA, 94806-5774, US
Phone (510) 262-6551
Fax
Business Location
2075 CLARK ST
HERCULES CA, 94547-5498, US
Phone (541) 961-1847
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Beth A Clark NPI is 1235494998, taxonomy code is 101YM0800X Beth A Clark physically located at 4175 Lakeside Dr, Richmond CA, 94806-5774. NPI Number Beth A Clark has the Individual type.

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1235494998 NPI number is provided on an as is basis without warranty of any kind. 1235494998 is maintained by the National Plan & Provider Enumeration System. The contents of Beth A Clark are for informational purposes only.