MS. Tempa Temera Dominique Clark
NPI #1366001810 in Clinton, Mississippi
Provider Information
- NPI Number
- 1366001810
- Entity Type
- Individual
- Name
- MS. Tempa Temera Dominique Clark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jun 9, 2019
- Last Updated
- Aug 26, 2019
Practice Location
- Address
- 604 HIGHWAY 80 W STE R
- City
- Clinton
- State
- Mississippi
- ZIP Code
- 39056-4108
- Phone
- (601) 473-2106
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Case Manager/Care Coordinator |
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