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1669947016
AUTUMN L CLARK
SPOKANE, WA
NPI
1669947016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: WA CG60902893)
Enumeration Date
2018-10-11
Last Update Date
2018-12-04
Business Address
AUTUMN L CLARK BA
5125 N MARKET ST
SPOKANE, WA 99217-6131
Phone number: 509-838-4651
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Mailing Address
AUTUMN L CLARK BA
107 S DIVISION ST
SPOKANE, WA 99202-1510
Phone number: 509-838-4651
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