CLARK KENT JACKSON

YAKIMA, WA
NPI1962508192
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WA  LW6908)
Enumeration Date2006-09-15
Last Update Date2007-07-08
Business Address
Mr. CLARK KENT JACKSON MSW
6 S 2ND ST STE 918
YAKIMA, WA 98901-2632
Phone number: 509-961-8233
Mailing Address
Mr. CLARK KENT JACKSON MSW
2004 E 1ST AVE
ELLENSBURG, WA 98926-9021
Phone number: 509-933-4803
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