Individual
DR. JILL JEFFERS CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, PHD
Contact information
Practice address
874 57TH ST, SACRAMENTO, CA 95819-3327
(916) 739-1926
(916) 739-1591
Mailing address
611 RIVERGATE WAY, SACRAMENTO, CA 95831-3344
(916) 739-1926
(916) 739-1591
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY20715
CA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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