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Individual

MS. MICHELE CLARKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW,LCSW,CDST,CS

Contact information

Practice address
7101 E INDIAN SCHOOL RD, SCOTTSDALE, AZ 85251-3807
(480) 600-1518
(480) 816-6619
Mailing address
7101 E INDIAN SCHOOL RD, SCOTTSDALE, AZ 85251-3807
(480) 600-1518
(480) 816-6619

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LW00004059
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LW00004059
STATE BUSINESS LICENSE
WA
Enumeration date
03/26/2008
Last updated
03/26/2008
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