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Individual

MRS. CASSANDRA ANN CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
B.A.

Contact information

Practice address
49 PARK STREET, DAVENPORT, WA 99122-0421
(509) 725-4900
(509) 725-4901
Mailing address
PO BOX 502, 815 SE TRINITY, WILBUR, WA 99185-0502
(509) 647-5730
(509) 725-4901

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RC00023755
WA

Other

Enumeration date
04/09/2007
Last updated
07/08/2007
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