Individual
VERNON CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 N 48TH ST STE 303, LINCOLN, NE 68504-3467
(402) 261-9273
Mailing address
620 N 48TH ST STE 303, LINCOLN, NE 68504-3467
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
13867
NE
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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