PAUL THOMAS CLARK

COLVILLE, WA
NPI1841569878
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  CG60155910)
Enumeration Date2011-12-20
Last Update Date2011-12-20
Business Address
-- PAUL THOMAS CLARK
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
Mailing Address
-- PAUL THOMAS CLARK
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
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