Keisha Ann Clark
Keisha Ann Clark is a Developmental Therapist in Chicago, Illinois. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
3711 S Vincennes Ave Unit 614Chicago, IL 60653-1882
Phone: (309) 721-8831
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|
Record details
| NPI number | 1457690844 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 5, 2013 |
| Last updated in NPPES | February 5, 2013 |
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