CLARK RANDALL

LONGVIEW, WA
NPI1346868841
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  CG61088625)
Enumeration Date2020-07-10
Last Update Date2020-07-10
Business Address
CLARK RANDALL
748 14TH AVE
LONGVIEW, WA 98632-2315
Phone number: 360-200-5419
Mailing Address
CLARK RANDALL
748 14TH AVE
LONGVIEW, WA 98632-2315
Phone number: 360-200-5419
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