JUSTIN BLAKE CLARK

SEATTLE, WA
NPI1619458999
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WA  61139465)
Enumeration Date2018-08-24
Last Update Date2022-08-05
Business Address
Mr. JUSTIN BLAKE CLARK LICSW
1660 S. COLUMBIAN WAY MAILSTOP: (S-116)
SEATTLE, WA 98108
Phone number: 206-764-2007
Mailing Address
Mr. JUSTIN BLAKE CLARK LICSW
1660 S. COLUMBIAN WAY MAILSTOP: (S-116)
SEATTLE, WA 98108
Phone number: 206-764-2007
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