Individual
SANDRA KAY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16503 W MCKINLEY ST, GOODYEAR, AZ 85338-6170
(623) 882-1054
Mailing address
16503 W MCKINLEY ST, GOODYEAR, AZ 85338-6170
(623) 882-1054
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
650836
AZ
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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