Individual
TAMMIE HARRISON-CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3251 MATLOCK RD, 15105, MANSFIELD, TX 76063-5044
(254) 458-0805
Mailing address
3251 MATLOCK RD, 15105, MANSFIELD, TX 76063-5044
(254) 458-0805
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/06/2013
Last updated
12/06/2013
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