Individual
GELESCIA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 N I 10 SERVICE RD W, METAIRIE, LA 70006-6713
(877) 418-2978
Mailing address
4201 N I 10 SERVICE RD W, METAIRIE, LA 70006-6713
(877) 418-2978
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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