Individual
ZIYONNIA FALICIA GLADES CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
198 NURSERY RD, LITTLE MOUNTAIN, SC 29075-9479
(855) 832-6727
Mailing address
198 NURSERY RD, LITTLE MOUNTAIN, SC 29075-9479
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
SC
Other
Enumeration date
12/19/2025
Last updated
12/19/2025
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