TINA MICHELLE CLARK

CHEHALIS, WA
NPI1104030899
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  RC00049995)
Enumeration Date2007-05-10
Last Update Date2007-07-08
Business Address
-- TINA MICHELLE CLARK
135 W MAIN ST
CHEHALIS, WA 98532-4817
Phone number: 360-748-6696
Mailing Address
-- TINA MICHELLE CLARK
1313 FERRIER RD
WINLOCK, WA 98596-9330
Phone number:
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