Individual
MINDY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
706 13TH ST, ALAMOGORDO, NM 88310-6405
(229) 237-4527
Mailing address
706 13TH ST, ALAMOGORDO, NM 88310-6405
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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