Search › Washington › 1041C0700X
Shelley Clark, LICSW
NPI 1063235992 · on the registry since 2024 · sole proprietor
Practice
- Address
- 2513 Nw 117th St
Vancouver, WA 98685 - Phone
- (360) 991-6272
Additional practice sites
- 1615 Delaware St, Longview, WA
- 1718 E Kessler Blvd, Longview, WA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington