Latisha Clark
NPI #1932714318 in Indianapolis, Indiana
Provider Information
- NPI Number
- 1932714318
- Entity Type
- Individual
- Name
- Latisha Clark
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- Sep 11, 2020
- Last Updated
- Jun 30, 2022
Practice Location
- Address
- 8109 BLACKGUM CT
- City
- Indianapolis
- State
- Indiana
- ZIP Code
- 46236-8260
- Phone
- (317) 658-5177
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
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