Individual
AMANDA CATHERINE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
536 ATRIUM DR STE 400, VERNON HILLS, IL 60061-1731
(224) 676-0202
Mailing address
3429 27TH ST, KENOSHA, WI 53144-1433
(262) 818-6839
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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