Individual
JESSICA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCGC
Contact information
Practice address
311 S L ST, TACOMA, WA 98405-4289
(253) 403-7483
(253) 403-2757
Mailing address
402 SW BISHOP CT, PORT ORCHARD, WA 98367-7283
(419) 341-8006
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GP60976161
WA
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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