STACEY CLARK

TACOMA, WA
NPI1144607797
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34006715A)
Additional Taxonomies1041C0700X Social Worker, Clinical
Enumeration Date2015-05-04
Last Update Date2020-02-05
Business Address
STACEY CLARK LCSW
9040 JACKSON AVE
TACOMA, WA 98431-1332
Phone number: 253-968-3927
Mailing Address
STACEY CLARK LCSW
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-3927