Jessica Clark

NPI #1326235003 in Ketchikan, Alaska

Provider Information

NPI Number
1326235003
Entity Type
Individual
Name
Jessica Clark
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Sep 26, 2007
Last Updated
Sep 26, 2007

Practice Location

Address
201 DEERMOUNT ST
State
Alaska
ZIP Code
99901-6649
Phone
(907) 225-7825

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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