Tara Clark

NPI #1407099948 in Morrison, Tennessee

Provider Information

NPI Number
1407099948
Entity Type
Individual
Name
Tara Clark
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Apr 14, 2009
Last Updated
Apr 14, 2009

Practice Location

Address
5736 MANCHESTER HWY
ZIP Code
37357-7503
Phone
(931) 815-3871

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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