Alice Clark

NPI #1063589299 in Florence, Arizona

Provider Information

NPI Number: 1063589299
Entity Type: Individual
Name: Alice Clark
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Respite Care - Respite Care, Mental Illness, Child
Enumeration Date: Nov 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 10720 E. MARIGOLD LANE
City: Florence
State: Arizona
ZIP Code: 85232
Phone: (520) 723-8228

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care - Respite Care, Mental Illness, Child — Respite Care, Mental Illness, Child	385HR2055X	Primary

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