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1104301316
MELODY CLARK
LAKEWOOD, WA
NPI
1104301316
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60644204)
Enumeration Date
2018-10-03
Last Update Date
2018-10-03
Business Address
Ms. MELODY CLARK CDPT
9500 FRONT ST S STE 100
LAKEWOOD, WA 98499-9415
Phone number: 253-584-3996
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Mailing Address
Ms. MELODY CLARK CDPT
9500 FRONT ST S STE 100
TACOMA, WA 98499-9415
Phone number: 253-584-3996
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