Individual
CAMMIE J CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED. SPECIALIST
Contact information
Practice address
12911 ROSEMARY ST, THORNTON, CO 80602-8408
(850) 630-8887
Mailing address
12911 ROSEMARY ST, THORNTON, CO 80602-8408
(850) 630-8887
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
WA
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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