Jack Clifford Carr

NPI #1174037774 in Mentor, Ohio

Provider Information

NPI Number: 1174037774
Entity Type: Individual
Name: Jack Clifford Carr
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Nov 20, 2017
Last Updated: Apr 2, 2021

Practice Location

Address: 7232 JUSTIN WAY
City: Mentor
State: Ohio
ZIP Code: 44060-4881
Phone: (440) 578-8200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary
Counselor	101Y00000X

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