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Celeste Clark, MA61290074

NPI 1902547698 · on the registry since 2022 · sole proprietor

Practice

Address
700 26th Ave
Seattle, WA 98122
Phone
(206) 890-4525

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-04-05

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