Most Relevant Information
Provider Data
| NPI Number: | 1003334160 |
| Provider Name: | TRINESE CLARK LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | LW60312254 |
Most Important Dates
| Enumeration Date: | 09/08/2017 |
| Last Updated: | 12/19/2023 |
Provider Practice Location
615 W TITUS ST
KENT
WA
980325749
Practice Location Phone/Fax
| Phone: | 2063699766 |
| Fax: |
Provider Mailing Location
1500 36TH AVE S
SEATTLE
WA
981444009
Provider Mailing Phone/Fax
| Phone: | 4258949715 |
| Fax: |