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Individual
JANELLE CLARK
Active
Individual
JANELLE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
30993
CA
106H00000X
Marriage & Family Therapist
52043
CA
Other
Enumeration date
03/26/2007
Last updated
04/21/2024
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