Individual
JUDY REGINA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 WAYNE PL SE APT G2, WASHINGTON, DC 20032-3063
(202) 574-0864
Mailing address
3820 2ND ST SE APT 101, WASHINGTON, DC 20032-3007
(202) 246-8222
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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