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1720420656
CLARK GOLDEN DALTON
MOSES LAKE, WA
NPI
1720420656
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WA LL60492790)
Enumeration Date
2013-07-19
Last Update Date
2022-04-26
Business Address
CLARK GOLDEN DALTON MHS, CCC-SLP
801 E WHEELER RD
MOSES LAKE, WA 98837-1820
Phone number: 509-793-9605
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Mailing Address
CLARK GOLDEN DALTON MHS, CCC-SLP
660 S COOLIDGE ST
MOSES LAKE, WA 98837-1872
Phone number: 509-793-9715
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