Mary Katherine Clark

NPI #1023978905 in Boise, Idaho

Provider Information

NPI Number
1023978905
Entity Type
Individual
Name
Mary Katherine Clark
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community/Behavioral Health
Enumeration Date
Nov 13, 2025
Last Updated
Nov 13, 2025

Practice Location

Address
1276 W RIVER ST STE 100
City
Boise
State
Idaho
ZIP Code
83702-7083
Phone
(208) 781-8504

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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