DR. Alicia Clark

NPI #1134216690 in Sheridan, Wyoming

Provider Information

NPI Number
1134216690
Entity Type
Individual
Name
DR. Alicia Clark
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist - Clinical
Enumeration Date
Oct 6, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
339 W LOUCKS ST
State
Wyoming
ZIP Code
82801-4121
Phone
(307) 674-4462

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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