MRS. Erica Lee Clark

NPI #1598081143 in Powell, Wyoming

Provider Information

NPI Number
1598081143
Entity Type
Individual
Name
MRS. Erica Lee Clark
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Day Training, Developmentally Disabled Services
Enumeration Date
Apr 7, 2010
Last Updated
Apr 7, 2010

Practice Location

Address
425 W 3RD ST
City
Powell
State
Wyoming
ZIP Code
82435-2304
Phone
(307) 202-2514

Specialties & Taxonomy Codes

Specialty
Day Training, Developmentally Disabled Services

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