Josette Clark
NPI #1871354092 in Glenolden, Pennsylvania
Provider Information
- NPI Number
- 1871354092
- Entity Type
- Individual
- Name
- Josette Clark
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Jan 16, 2024
- Last Updated
- Jan 16, 2024
Practice Location
- Address
- 612 S ELMWOOD AVE
- City
- Glenolden
- State
- Pennsylvania
- ZIP Code
- 19036-2321
- Phone
- (215) 687-5868
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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