Individual
MS. NICOLE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CMC
Contact information
Practice address
705 W 7TH AVE STE B, SPOKANE, WA 99204-2836
(509) 326-5525
Mailing address
705 W 7TH AVE STE B, SPOKANE, WA 99204-2836
(509) 326-5525
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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