MRS. Anita Coleen Clark

NPI #1316424740 in Nashville, Arkansas

Provider Information

NPI Number: 1316424740
Entity Type: Individual
Name: MRS. Anita Coleen Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jul 27, 2018
Last Updated: Jul 27, 2018

Practice Location

Address: 200 IMMANUAL ST
City: Nashville
State: Arkansas
ZIP Code: 71852-3937
Phone: (870) 845-3262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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