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1013497304
KELLY ANN CLARK
WATERFORD, MI
NPI
1013497304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: MI 7401002511)
Enumeration Date
2018-08-16
Last Update Date
2024-07-19
Business Address
KELLY ANN CLARK BCBA
2231 ELLERY AVE
WATERFORD, MI 48327-1107
Phone number: 248-231-3861
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Mailing Address
KELLY ANN CLARK BCBA
2231 ELLERY AVE
WATERFORD, MI 48327-1107
Phone number: 248-231-3861
Copy
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