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Individual

TINA MARIE CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7200 SKYWAY, PARADISE, CA 95969-3280
(530) 877-1965
(530) 877-1653
Mailing address
7200 SKYWAY, PARADISE, CA 95969-3280
(530) 877-1965
(530) 877-1653

Taxonomy

Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary

Other

Enumeration date
09/07/2007
Last updated
03/28/2011
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