Individual
DONNA REE CLARK-WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1336 E 89TH PL, CHICAGO, IL 60619-7004
(773) 449-9961
Mailing address
6136 S EBERHART AVE APT 2, CHICAGO, IL 60637-6124
(773) 449-9961
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
10/27/2021
Last updated
08/14/2024
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