Timothy K Clark, MA DCR
NPI #1265501829 in Clinton, Washington
Provider Information
- NPI Number
- 1265501829
- Entity Type
- Individual
- Name
- Timothy K Clark, MA DCR
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Credential
- MA DCR
- Enumeration Date
- Nov 7, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 6341 KYLLENON HILL RD
- City
- Clinton
- State
- Washington
- ZIP Code
- 98236-8633
- Phone
- (360) 341-3413
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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