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1891219267
MICHAEL CLARKE
TACOMA, WA
NPI
1891219267
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60917997)
Enumeration Date
2017-07-27
Last Update Date
2024-07-30
Business Address
Mr. MICHAEL CLARKE
3713 PACIFIC AVE STE E
TACOMA, WA 98418-7845
Phone number: 360-768-1000
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Mailing Address
Mr. MICHAEL CLARKE
3713 PACIFIC AVE
TACOMA, WA 98418-7839
Phone number: 253-433-7993
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