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1275063737
RICHARD CLARK
VANCOUVER, WA
NPI
1275063737
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-06-18
Last Update Date
2022-07-21
Business Address
Mr. RICHARD CLARK
1014 MAIN STREET
VANCOUVER, WA 98660
Phone number: 360-695-1014
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Mailing Address
Mr. RICHARD CLARK
1014 MAIN STREET
VANCOUVER, WA 98660
Phone number: 360-695-1014
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