NPI 1598081143

Erica Lee Clark

Practitioner Developmentally Disabled Services Day Training Agency Powell, WY

Practice location

Address: 425 W 3rd St, Powell, WY 82435-2304
Phone: (307) 202-2514

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in Wyoming →

Registry record

NPI: 1598081143
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Apr 2010
Record last updated: 7 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.