Individual
MR. JEFFERY DUANE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
202 E SPOKANE FALLS BLVD STE 302, SPOKANE, WA 99202-1612
(509) 720-7073
Mailing address
202 E SPOKANE FALLS BLVD STE 302, SPOKANE, WA 99202-1612
(509) 720-7073
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61435143
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9123877
MEDICARE
WA
Enumeration date
02/22/2018
Last updated
01/31/2026
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