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1447287453
BRIAN KEITH CLARK
EVERETT, WA
NPI
1447287453
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW00006415)
Enumeration Date
2006-06-26
Last Update Date
2007-07-08
Business Address
Mr. BRIAN KEITH CLARK LCSW
3322 BROADWAY
EVERETT, WA 98201-4425
Phone number: 425-349-7447
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Mailing Address
Mr. BRIAN KEITH CLARK LCSW
3322 BROADWAY
EVERETT, WA 98201-4425
Phone number: 425-349-7447
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