Individual
MS. CATHY A. CLARK L.M.P.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIC. MASSAGE PRACTIT
Contact information
Practice address
186-375 HWY. 101, FORKS, WA 98331
(360) 374-5395
Mailing address
186-375 HWY. 101, FORKS, WA 98331
(360) 374-5395
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00007890
WA
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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