Kohlee Clark

NPI #1861108177 in Rexburg, Idaho

Provider Information

NPI Number
1861108177
Entity Type
Individual
Name
Kohlee Clark
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Enumeration Date
Jan 30, 2023
Last Updated
Jan 30, 2023

Practice Location

Address
859 S HWY 191
Address 2
SUITE 202
State
Idaho
ZIP Code
83440
Phone
(307) 257-5487

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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