Individual
MRS. BRANDI L. CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2205 SPANISH TOWN AVE, NORTH LAS VEGAS, NV 89031-0903
(702) 658-9563
Mailing address
1020 MAPLE PINES AVE, NORTH LAS VEGAS, NV 89081-6802
(734) 890-2236
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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