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Individual

ANGELA JANET CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CATC

Contact information

Practice address
412 E TUNNELL ST # B, SANTA MARIA, CA 93454-4146
(805) 925-0315
(805) 346-1787
Mailing address
501 E PARK AVE UNIT 2, SANTA MARIA, CA 93454-6247
(805) 349-0323

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
02/27/2007
Last updated
07/08/2007
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