Josette Clark
Josette Clark is an Early Intervention Provider Agency in Glenolden, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.
- Licensed in
- PA
- In the registry since
- 2024
Practice location Address checks out
612 S Elmwood AveGlenolden, PA 19036-2321
Phone: (215) 687-5868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X (PA) |
|---|
Record details
| NPI number | 1871354092 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 16, 2024 |
| Last updated in NPPES | January 16, 2024 |
| Certification date | January 16, 2024 |
| Mailing address | 612 S Elmwood Ave, Glenolden, PA 19036-2321 |