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Organization
LIFELONG MEDICAL CARE
Active
Organization
LIFELONG MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK CLARK CONSULTANT (CONSULTANT)
(510) 981-3203
Entity
Organization
Contact information
Practice address
1030 NEVIN AVE, RICHMOND, CA 94801-3122
(510) 215-5001
Mailing address
2344 6TH ST, BERKELEY, CA 94710-2412
(510) 981-3203
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW11778
CA
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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