Dale D Clark

NPI 1689824088 - Counselor - 101Y00000X

NPI Details
NPI 1689824088
Gender Male
Enumeration Date 09/23/2008
Last Updated 09/23/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
325 E PIONEER AVE
PUYALLUP WA, 98372-3265, US
Phone (253) 697-8548
Fax (253) 697-8590
Business Location
325 E PIONEER AVE
PUYALLUP WA, 98372-3265, US
Phone (253) 697-8548
Fax (253) 697-8590
Toxanomy
Taxonomy Code 101Y00000X
License State Washington
License Number RC0035556
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According to our database, Dale D Clark NPI is 1689824088, taxonomy code is 101Y00000X and license number is RC0035556, license state is located at Washington. Dale D Clark physically located at 325 E Pioneer Ave, Puyallup WA, 98372-3265. NPI Number Dale D Clark has the Individual type.

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1689824088 NPI number is provided on an as is basis without warranty of any kind. 1689824088 is maintained by the National Plan & Provider Enumeration System. The contents of Dale D Clark are for informational purposes only.