Individual
CHRISTINE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSWAIC
Contact information
Practice address
2400 NE 95TH ST, APT E, SEATTLE, WA 98115
(808) 647-0455
Mailing address
2400 NE 95TH ST, SEATTLE, WA 98115
(808) 647-0455
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC61596781
WA
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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