Individual
LINDSEY RICHELLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3720 ALUMNI AVE, MEMPHIS, TN 38111-5914
(901) 584-8281
Mailing address
9 COUNTY ROAD 191, OXFORD, MS 38655-8677
(901) 584-8281
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-63131
TN
106S00000X
Behavior Technician
—
TN
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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