Kortney Booth Clark, CASE MANAGEMENT

NPI #1477024149 in Evanston, Wyoming

Provider Information

NPI Number
1477024149
Entity Type
Individual
Name
Kortney Booth Clark, CASE MANAGEMENT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Credential
CASE MANAGEMENT
Enumeration Date
Dec 6, 2018
Last Updated
Dec 6, 2018

Practice Location

Address
322 GANNETT DR
State
Wyoming
ZIP Code
82930-8722
Phone
(307) 679-7105

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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