CHRISTINA LYNN CLARK

PORTLAND, OR
NPI1801129267
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  6547)
Enumeration Date2009-09-16
Last Update Date2017-09-25
Business Address
-- CHRISTINA LYNN CLARK LCSW
2143 NE BROADWAY ST
PORTLAND, OR 97232-1512
Phone number: 917-912-9505
Mailing Address
-- CHRISTINA LYNN CLARK LCSW
2581 NE 31ST AVE
PORTLAND, OR 97212-3660
Phone number: 917-912-9505
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