Kelly Clark

NPI #1245566272 in Laplata, Maryland

Provider Information

NPI Number
1245566272
Entity Type
Individual
Name
Kelly Clark
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Oct 27, 2009
Last Updated
Oct 27, 2009

Practice Location

Address
6100 RADIO STATION ROAD
ZIP Code
20646
Phone
(301) 609-9887

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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