Individual
CLARKE-LAUREN STEVENSON RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1277 E LOMA LINDA AVE, FRESNO, CA 93720-2668
(559) 801-4396
Mailing address
1277 E LOMA LINDA AVE, FRESNO, CA 93720-2668
(559) 801-4396
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1760939847
CA
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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