Organization
SOUND FAMILY CENTER, LLC
Active
Other names
Kaeli A. Clark
Organization subpart
No
Provider details
NPI number
Authorized official
KAELI A CLARK CDP (OWNER)
(206) 419-9168
Entity
Organization
Contact information
Practice address
17924 140TH AVE NE, STE#230, WOODINVILLE, WA 98072-4315
(206) 419-9168
(206) 555-5555
Mailing address
17924 140TH AVE NE, STE #230, WOODINVILLE, WA 98072
(206) 419-9168
(206) 555-5555
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60295090
WA
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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