Heidi C. Clark
NPI #1154614808 in Kingston, Washington
Provider Information
- NPI Number
- 1154614808
- Entity Type
- Individual
- Name
- Heidi C. Clark
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- May 26, 2011
- Last Updated
- May 26, 2011
Practice Location
- Address
- 31912 LITTLE BOSTON RD NE
- City
- Kingston
- State
- Washington
- ZIP Code
- 98346-9700
- Phone
- (360) 633-1902
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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