Individual
ROCHELLE LENORE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP, CLT
Contact information
Practice address
419 QUEEN ANNE AVE N, STE 106, SEATTLE, WA 98109-4518
(206) 390-4731
Mailing address
419 QUEEN ANNE AVE N STE 106, SEATTLE, WA 98109-4539
(206) 390-4731
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00012991
WA
Other
Enumeration date
05/17/2007
Last updated
10/11/2016
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