Individual
MS. CARA BETH GLICKMAN-CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA-CCC, SLP
Contact information
Practice address
8057 JONES AVE NW, SEATTLE, WA 98117-4354
(206) 789-5656
Mailing address
PO BOX 97115, LAKEWOOD, WA 98497-0115
(253) 588-7911
(253) 984-6774
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00001744
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL00001744
MEDICAL PROFESSIONAL LICENSE
WA
Enumeration date
02/15/2011
Last updated
11/09/2012
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