Individual
BROOKLYN N CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APSS
Contact information
Practice address
561 BREKENRIDGE STREET, 202, LEXINGTON, KY 40508
(859) 317-3171
Mailing address
521 BIG BEAR LN, LEXINGTON, KY 40517-2053
(859) 317-3171
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
KY
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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