Lisa Michelle Clark

NPI #1225568322 in Port Townsend, Washington

Provider Information

NPI Number: 1225568322
Entity Type: Individual
Name: Lisa Michelle Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 13, 2017
Last Updated: Jun 20, 2018

Practice Location

Address: 4645 BELL ST
City: Port Townsend
State: Washington
ZIP Code: 98368-1923
Phone: (360) 643-9400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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