JEFFERY DUANE CLARK

FAIRCHILD AFB, WA
NPI1225539570
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WA  LW61435143)
Enumeration Date2018-02-22
Last Update Date2025-01-21
Business Address
Mr. JEFFERY DUANE CLARK MSW, LICSW
701 HOSPITAL LOOP
FAIRCHILD AFB, WA 99011-8704
Phone number: 509-953-0358
Mailing Address
Mr. JEFFERY DUANE CLARK MSW, LICSW
701 HOSPITAL LOOP
FAIRCHILD AFB, WA 99011-8704
Phone number: 509-953-0358