Individual
JACLYN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 MARKET ST, RIVERSIDE, CA 92501-2123
(951) 624-9353
Mailing address
3120 W LINGARD ST, LANCASTER, CA 93536-8383
(661) 406-6494
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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