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1376987370
MELLISA A CLARK
TACOMA, WA
NPI
1376987370
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: WA MC60309925)
Enumeration Date
2013-04-20
Last Update Date
2015-02-10
Business Address
Ms. MELLISA A CLARK
1019 PACIFIC AVE STE 1022
TACOMA, WA 98402-4491
Phone number: 253-495-9707
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Mailing Address
Ms. MELLISA A CLARK
1020 S OXFORD ST
TACOMA, WA 98465-1832
Phone number: 253-495-9707
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