Patricia Ann Clark MFTI

NPI 1073937637 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1073937637
Gender Female
Enumeration Date 02/18/2014
Last Updated 02/18/2014
Entity Type Individual
Active Over 3 years ago
Practice Location
SANTA ROSA CA, 95409-3123, US
Phone (707) 571-2215
Business Location
PO BOX 2587
SANTA ROSA CA, 95405-0587, US
Phone (707) 527-2215
Taxonomy Code 106H00000X
License State California
License Number IMF 75971
Remove 1073937637 NPI Number

According to our database, Ms. Patricia Ann Clark MFTI NPI is 1073937637, taxonomy code is 106H00000X and license number is IMF 75971, license state is located at California. Patricia Ann Clark MFTI physically located at 429 Speers Rd, Santa Rosa CA, 95409-3123. NPI Number Patricia Ann Clark MFTI has the Individual type.

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1073937637 NPI number is provided on an as is basis without warranty of any kind. 1073937637 is maintained by the National Plan & Provider Enumeration System. The contents of Patricia Ann Clark MFTI are for informational purposes only.