MS. Mellisa A Clark

NPI #1376987370 in Tacoma, Washington

Provider Information

NPI Number: 1376987370
Entity Type: Individual
Name: MS. Mellisa A Clark
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Apr 20, 2013
Last Updated: Feb 10, 2015

Practice Location

Address: 1019 PACIFIC AVE STE 1022
City: Tacoma
State: Washington
ZIP Code: 98402-4491
Phone: (253) 495-9707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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