Individual
MRS. DIANNE K. CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED MASSAGE TH
Contact information
Practice address
9955 W. 20TH AVE, LAKEWOOD, CO 80215
(303) 986-0865
Mailing address
9955 W. 20TH AVE, LAKEWOOD, CO 80215
(303) 986-0865
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
021432
CO
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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