Individual
SHERA JEAN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
235 S 3RD ST, SHELTON, WA 98584-2255
(360) 426-0890
(360) 426-4688
Mailing address
PO BOX 401, SHELTON, WA 98584-0401
(360) 545-7306
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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