Individual
CLARK GOLDEN DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHS, CCC-SLP
Contact information
Practice address
801 E WHEELER RD, MOSES LAKE, WA 98837-1820
(509) 793-9605
(509) 764-3203
Mailing address
660 S COOLIDGE ST, MOSES LAKE, WA 98837-1872
(509) 793-9715
(509) 764-3244
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60492790
WA
Other
Enumeration date
07/19/2013
Last updated
04/26/2022
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