Individual
KARREN CHANELLE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45-955 KAMEHAMEHA HWY, KANEOHE, HI 96744-3222
(808) 741-2232
Mailing address
45-955 KAMEHAMEHA HWY, KANEOHE, HI 96744-3222
(808) 741-2232
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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