KRISTEN CLACKUM

DALLAS, GA
NPI1710301452
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: GA  OT005807)
Enumeration Date2014-02-18
Last Update Date2014-02-18
Business Address
-- KRISTEN CLACKUM OT
3044 DUE WEST RD
DALLAS, GA 30141
Phone number: 770-443-9672
Mailing Address
-- KRISTEN CLACKUM OT
3044 DUE WEST ROAD
DALLAS, GA 30157
Phone number: 770-443-9672
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