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S L CLARK MD, INC, P.S.

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Company Details

Legal Name: S L CLARK MD, INC, P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: November 22nd 2010
Date of Dissolution: April 3rd 2018
Expiration date: 30 Nov 2017
UBI Number: 603 065 642
ZIP code: 98275
City: Mukilteo
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 9515 60TH AVE W, MUKILTEO, WA, 98275, UNITED STATES

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Registered Agent Information

Name Role Address
SUSAN L CLARK MD INC PS Registered Agent 10757 GREENWOOD AVE N APT 320, SEATTLE, WA, 98133-8756, UNITED STATES

Key Officers & Management

Name Role Address
ANNE BRINK Governing Person 6706 EARL AVE NW, SEATTLE, WA, 98117, UNITED STATES
CHRISTY HOUGER Governing Person 120 124TH ST SW #C-2, EVERETT, WA, 98204, UNITED STATES
SUSAN CLARK Governing Person 10757 GREENWOOD AVE N, #320, SEATTLE, WA, 98133, UNITED STATES
JOANNA GACEK Governing Person 580 OCEAN VIEW DR, OAK HARBOR, WA, 98277, UNITED STATES

National Provider Identifier

NPI Number:
1528257433

Authorized Person:

Name:
SUSAN L CLARK
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
103TP0016X - Prescribing (Medical) Psychologist
Is Primary:
No
Selected Taxonomy:
103TP0814X - Psychoanalysis Psychologist
Is Primary:
Yes

Contacts:

Fax:
4253552882
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