MRS. Dyneesha-Marie Clark

NPI #1497335715 in Pooler, Georgia

Provider Information

NPI Number: 1497335715
Entity Type: Individual
Name: MRS. Dyneesha-Marie Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 11, 2021
Last Updated: Apr 11, 2021

Practice Location

Address: 105 GRAND CENTRAL BLVD
City: Pooler
State: Georgia
ZIP Code: 31322-4148
Phone: (912) 244-3305

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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