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Individual
MR. MITCHELL BRADY CLARK
Active
Individual
MR. MITCHELL BRADY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RC00050738
WA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/26/2009
Last updated
09/24/2024
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