Individual
WILLIAM WARREN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CTRS
Contact information
Practice address
2118 STAGECOACH TRL, TEMPLE, TX 76502-3224
(254) 931-9531
Mailing address
2118 STAGECOACH TRL, TEMPLE, TX 76502-3224
(254) 931-9531
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
12/03/2010
Last updated
12/03/2010
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