BRIAN KEITH CLARK

EVERETT, WA
NPI1447287453
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: WA  LW00006415)
Enumeration Date2006-06-26
Last Update Date2007-07-08
Business Address
MR. BRIAN KEITH CLARK LCSW
3322 BROADWAY
EVERETT, WA 98201-4425
Phone number: 425-349-7447
Mailing Address
MR. BRIAN KEITH CLARK LCSW
3322 BROADWAY
EVERETT, WA 98201-4425
Phone number: 425-349-7447
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