Individual
KASI LENE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18556 DREXEL ST, OMAHA, NE 68135-1785
(402) 681-1915
Mailing address
18556 DREXEL ST, OMAHA, NE 68135-1785
(402) 681-1915
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
—
—
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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