Dmitrius Clark
NPI #1003386657 in Stockton, California
Provider Information
- NPI Number
- 1003386657
- Entity Type
- Individual
- Name
- Dmitrius Clark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Nov 27, 2018
- Last Updated
- Nov 27, 2018
Practice Location
- Address
- 3620 W. HAMMER LANE
- City
- Stockton
- State
- California
- ZIP Code
- 95219
- Phone
- (209) 521-4791
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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