Individual
KACEE LYNN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3321 POWER INN RD, SUITE 110, SACRAMENTO, CA 95826-3890
(916) 291-7219
Mailing address
3321 POWER INN RD, STE 110, SACRAMENTO, CA 95826-3890
(916) 291-7219
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
67334
CA
Other
Enumeration date
08/10/2011
Last updated
02/01/2016
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