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1427397124
KAELI ANN CLARK
BELLEVUE, WA
NPI
1427397124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA 60295090)
Enumeration Date
2013-01-31
Last Update Date
2013-01-31
Business Address
-- KAELI ANN CLARK CDP
2025 112TH AVE NE STE 101
BELLEVUE, WA 98004-2943
Phone number: 425-462-8558
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Mailing Address
-- KAELI ANN CLARK CDP
18015 NE 159TH ST
WOODINVILLE, WA 98072-6130
Phone number: 206-419-9168
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