Individual
DR. GENA L CLARK-MCKNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2080 SYLVAN WAY APT 1507, LODI, CA 95242-4734
(262) 416-4208
Mailing address
2080 SYLVAN WAY APT 1507, LODI, CA 95242-4734
(262) 416-4208
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
—
CA
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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