Individual
ALEXIS CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A
Contact information
Practice address
2708 NE 14TH ST APT 5, POMPANO BEACH, FL 33062-3564
(888) 880-9270
Mailing address
2708 NE 14TH STREET, SUITE 5, POMPANO BEACH, FL 33062
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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