Casondra Clark

NPI #1558210658 in Surprise, Arizona

Provider Information

NPI Number
1558210658
Entity Type
Individual
Name
Casondra Clark
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Jan 22, 2026
Last Updated
Jan 22, 2026

Practice Location

Address
17874 W BLOOMFIELD RD
State
Arizona
ZIP Code
85388-5619
Phone
(480) 465-2920

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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