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1871065169
ELIZABETH ANN CLARK
LAKEWOOD, WA
NPI
1871065169
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA 60635560)
Enumeration Date
2018-12-26
Last Update Date
2018-12-26
Business Address
ELIZABETH ANN CLARK CDPT
8811 S TACOMA WAY STE 106
LAKEWOOD, WA 98499-4595
Phone number: 253-302-3826
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Mailing Address
ELIZABETH ANN CLARK CDPT
8811 S TACOMA WAY STE 106
LAKEWOOD, WA 98499-4595
Phone number: 253-302-3826
Copy
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