JACEY CLARK

LONGVIEW, WA
NPI1730676701
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: WA  60823909)
Enumeration Date2018-04-16
Last Update Date2019-05-01
Business Address
JACEY CLARK CDPT
720 14TH AVENUE
LONGVIEW, WA 98632
Phone number: 360-353-9840
Mailing Address
JACEY CLARK CDPT
921 14TH AVENUE
LONGVIEW, WA 98632
Phone number: 360-423-0203
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