Individual
ALEXIS RAE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3020 BERNAL AVE STE 110, PLEASANTON, CA 94566-6986
(260) 273-9984
Mailing address
3020 BERNAL AVE STE 110, PLEASANTON, CA 94566-6986
(260) 273-9984
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
129078
CA
Other
Enumeration date
07/28/2017
Last updated
03/12/2025
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