KATIE CLARK

SPOKANE, WA
NPI1831498450
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: WA  MA60214270)
Enumeration Date2011-03-22
Last Update Date2011-03-22
Business Address
-- KATIE CLARK LMP
10709 N. DIVISION ST.
SPOKANE, WA 99221
Phone number: 409-466-9008
Mailing Address
-- KATIE CLARK LMP
10709 N. DIVISION ST.
SPOKANE, WA 99218
Phone number: 509-466-9008