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Individual
SHARIF CLARK
Active
Individual
SHARIF CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CATC-1 #177290
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17729
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
177290
CA
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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