Individual
CHARLES A CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2614 CHARLESTOWN RD, NEW ALBANY, IN 47150
(930) 204-2414
Mailing address
2614 CHARLESTOWN RD, NEW ALBANY, NEW ALBANY, IN 47150
(930) 204-2414
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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