Individual
MS. MICHELE CLARKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,LCSW,CDST,CS
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
Update your record
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