MELODY CLARK

LAKEWOOD, WA
NPI1104301316
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO60644204)
Enumeration Date2018-10-03
Last Update Date2018-10-03
Business Address
Ms. MELODY CLARK CDPT
9500 FRONT ST S STE 100
LAKEWOOD, WA 98499-9415
Phone number: 253-584-3996
Mailing Address
Ms. MELODY CLARK CDPT
9500 FRONT ST S STE 100
TACOMA, WA 98499-9415
Phone number: 253-584-3996