Nicole Lee Clark
NPI #1164168308 in Wichita Falls, Texas
Provider Information
- NPI Number
- 1164168308
- Entity Type
- Individual
- Name
- Nicole Lee Clark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Developmental Therapist
- Enumeration Date
- May 10, 2022
- Last Updated
- May 10, 2022
Practice Location
- Address
- 1709 10TH ST
- City
- Wichita Falls
- State
- Texas
- ZIP Code
- 76301-5010
- Phone
- (940) 257-8358
Specialties & Taxonomy Codes
| Specialty |
|---|
| Developmental Therapist |
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