Individual
JESSIANA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1079 N HOUSTON LEVEE ROAD, SUITE 102, CORDOVA, TN 38018
(901) 248-7440
Mailing address
1079 N HOUSTON LEVEE ROAD, SUITE 102, CORDOVA, TN 38018
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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