Individual
TIKISHA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1453 E MAIN ST, COLUMBUS, OH 43205-2152
(614) 671-2903
Mailing address
296 CULLMAN RD, COLUMBUS, OH 43207-3022
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.007325
OH
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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