Individual
PAULA K CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1545 HOTEL CIR S, #300, SAN DIEGO, CA 92108-3412
(619) 398-2441
Mailing address
1545 HOTEL CIR S, #300, SAN DIEGO, CA 92108-3412
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
329
CA
Other
Enumeration date
08/06/2012
Last updated
09/09/2013
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