Individual
ANGELA J CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
48 BISTATE PLAZA, OLD TAPPAN, NJ 07675
(509) 768-2249
Mailing address
8940 RACHEL FREEMAN WAY APT 4201, CHARLOTTE, NC 28278-9559
(619) 259-7664
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
AMFT132478
CA
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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