Individual
ALLISON CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1611 KRESKY AVE STE 108, SUITE A, CENTRALIA, WA 98531-8982
(360) 330-1800
(360) 330-5866
Mailing address
219 DOWNING RD, CENTRALIA, WA 98531-5605
(360) 736-2853
(360) 736-4159
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00021898
WA
Other
Enumeration date
02/25/2008
Last updated
03/02/2012
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