Individual
KATELYNN MICHELLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(914) 330-7140
Mailing address
14392 98TH WAY SE, YELM, WA 98597-7750
(914) 330-7140
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C016578
NC
1041C0700X
Clinical Social Worker
C016578
—
Other
Enumeration date
03/22/2024
Last updated
03/25/2024
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