Individual
CATHERINE ELIZABETH CLARK/VERLINDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1590 WILLOW CREEK RD, PRESCOTT, AZ 86301-1164
(928) 227-1899
Mailing address
4901 N HOBO CIR, PRESCOTT VALLEY, AZ 86314-5159
(602) 679-5970
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-24460
AZ
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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