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Individual

DAN CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3322 BROADWAY, EVERETT, WA 98201-4425
(425) 349-6110
Mailing address
15705 NE 157TH ST, WOODINVILLE, WA 98072-8116
(425) 483-6076

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/04/2013
Last updated
09/04/2013
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