Regina Diane Clark

NPI #1003787417 in Dayton, Ohio

Provider Information

NPI Number: 1003787417
Entity Type: Individual
Name: Regina Diane Clark
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Sep 17, 2025
Last Updated: Sep 17, 2025

Practice Location

Address: 68 CROMWELL PL APT 1
City: Dayton
State: Ohio
ZIP Code: 45405-1761
Phone: (757) 944-5428

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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