Individual
HERSHELLE ANDERA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12741 DARBY BROOK CT, WOODBRIDGE, VA 22192-2406
(888) 467-8241
Mailing address
12741 DARBY BROOK CT, WOODBRIDGE, VA 22192-2406
(888) 467-8241
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
VA
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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