MS. Davette M Clark
MS. Davette M Clark is a Developmental Therapist in Country Club Hills, Illinois. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
4856 Castle Dargan DrCountry Club Hills, IL 60478-5820
Phone: (708) 957-8616
Fax: (708) 957-8617
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Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|
Record details
| NPI number | 1750417614 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 26, 2007 |
| Last updated in NPPES | July 8, 2007 |
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