Individual
MS. JOAN GARY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LMHC
Contact information
Practice address
100 SE WHITENER RD, SHELTON, WA 98584-7747
(802) 598-5522
Mailing address
1523 FERN ST SW, OLYMPIA, WA 98502-1029
(802) 598-5522
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LH.60133754
WA
Other
Enumeration date
05/17/2010
Last updated
09/24/2010
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