Individual
DEANNA LYNN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7243 US HIGHWAY 301 S STE A, RIVERVIEW, FL 33578-8399
(813) 677-5471
(813) 663-9828
Mailing address
2731 CROSBY RD, VALRICO, FL 33594-6771
(813) 732-0332
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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