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Individual

DAMON CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
507 E 2ND AVE, COLVILLE, WA 99114-2909
(541) 786-1218
Mailing address
507 E 2ND AVE, COLVILLE, WA 99114-2909
(541) 786-1218

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
WA

Other

Enumeration date
06/17/2026
Last updated
06/17/2026
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