Callie Ann Clark
NPI #1104307149 in Devils Lake, North Dakota
Provider Information
- NPI Number
- 1104307149
- Entity Type
- Individual
- Name
- Callie Ann Clark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Aug 28, 2018
- Last Updated
- Aug 28, 2018
Practice Location
- Address
- 524 4TH AVE NE UNIT 19
- City
- Devils Lake
- State
- North Dakota
- ZIP Code
- 58301-2400
- Phone
- (701) 662-7050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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