Individual
CHRISTY L CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
702 HAYWARD AVE APT 105, CHAPPELL, NE 69129-2345
(308) 566-0592
Mailing address
702 HAYWARD AVE APT 105, CHAPPELL, NE 69129-2345
(308) 566-0592
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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