Individual
JORDAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2312 DURWOOD RD, LITTLE ROCK, AR 72207-3431
(501) 313-5973
(501) 747-1811
Mailing address
80 ZIRCON DR, MAUMELLE, AR 72113-6049
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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