Individual
LARRY L CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7423 TIFFANY S, YOUNGSTOWN, OH 44514-3908
(330) 629-2955
(330) 629-2956
Mailing address
7423 TIFFANY S, YOUNGSTOWN, OH 44514-3908
(330) 629-2955
(330) 629-2956
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OH
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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