Individual
CARMEN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 23RD AVE S, SEATTLE, WA 98144-2302
(206) 851-2239
Mailing address
13732 SE 275TH PL, KENT, WA 98042-9075
(206) 851-2239
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WA
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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