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Individual

KADIE LAUREN CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
1310 HOLLENSWORTH, MAGNOLIA, AR 71753-3219
(870) 234-5611
Mailing address
1310 HOLLENSWORTH, MAGNOLIA, AR 71753-3219
(870) 234-5611

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1070
AR

Other

Enumeration date
04/01/2025
Last updated
04/01/2025
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