Individual
LINDA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 GALLOWAY ST, STEILACOOM, WA 98388-3909
(253) 983-2568
Mailing address
1201 GALLOWAY ST, STEILACOOM, WA 98388-3909
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SP 60233938
WA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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