Individual
LATOYA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3525 STONEHAVEN DR, FLORISSANT, MO 63033-3944
(557) 200-9929
Mailing address
3525 STONEHAVEN DR, FLORISSANT, MO 63033-3944
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/02/2026
Last updated
01/02/2026
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