Individual
SHAKESHA S ANDERSON CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
271 FT RICHARDSON AVE, LIFE SKILLS SUPPORT CENTER- 17MDG, GOODFELLOW AFB, TX 76908-4901
(325) 654-3122
(325) 654-5161
Mailing address
5216 FAIRWAY DR, SAN ANGELO, TX 76904-8759
(325) 654-3122
(325) 654-5161
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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