Individual
ELIZABETH ANN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42 ELOCHOMAN VALLEY RD, CATHLAMET, WA 98612-9602
(360) 795-8630
Mailing address
42 ELOCHOMAN VALLEY RD, CATHLAMET, WA 98612-9602
(360) 795-8630
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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