Individual
ASHLEY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 N JACKSON ST STE 203, MEDIA, PA 19063-2574
(484) 444-2285
Mailing address
600 N JACKSON ST STE 203, MEDIA, PA 19063-2574
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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