Individual
MRS. KATHERINE ANNE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3214 W MCGRAW ST, STE 212, SEATTLE, WA 98199-3239
(206) 453-4882
(206) 453-5094
Mailing address
3214 W MCGRAW ST, STE 212, SEATTLE, WA 98199-3239
(206) 453-4882
(206) 453-5094
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CG60616948
WA
Other
Enumeration date
11/17/2015
Last updated
11/15/2016
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