Individual
MS. CRISTEN CLARE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BACHELORS PSYCHOLOGY
Contact information
Practice address
615 PIIKOI ST STE 105, HONOLULU, HI 96814-3139
(808) 596-8433
Mailing address
PO BOX 17424, HONOLULU, HI 96817-0424
(808) 548-1735
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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