Individual
KAREN EDITH CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
20056 19TH AVE NE, SHORELINE, WA 98155-1211
(425) 670-6726
Mailing address
20056 19TH AVE NE, SHORELINE, WA 98155-1211
(425) 670-6726
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY2095
WA
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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