Individual
DR. DANIEL W CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1405 HARRISON AVE NW STE 205, OLYMPIA, WA 98502-5327
(360) 586-8492
Mailing address
1405 HARRISON AVE NW STE 205, OLYMPIA, WA 98502-5327
(360) 586-8492
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY1791
WA
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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