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Organization

SHEPHERD PARK CHILDREN'S ACADEMY LLC

Active
Other names
Shepherd Park Children's Academy
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY CLARKE (OWNER/DIRECTOR)
(202) 907-8183
Entity
Organization

Contact information

Practice address
7838 EASTERN AVE NW, WASHINGTON, DC 20012-1303
(202) 417-8932
Mailing address
7838 EASTERN AVE NW, WASHINGTON, DC 20012-1303
(202) 417-8932

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
09/29/2023
Last updated
09/29/2023
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