Nicole Lee Clark
Nicole Lee Clark is a Developmental Therapist in Wichita Falls, Texas. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1709 10th StWichita Falls, TX 76301-5010
Phone: (940) 257-8358
Fax: (940) 696-6210
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Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|
Record details
| NPI number | 1164168308 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 10, 2022 |
| Last updated in NPPES | May 10, 2022 |
| Certification date | May 10, 2022 |
| Mailing address | Po Box 8266, Wichita Falls, TX 76307-8266 |
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