Maveric Chase Clarke, A.S.

NPI #1497555049 in Logan, Utah

Provider Information

NPI Number: 1497555049
Entity Type: Individual
Name: Maveric Chase Clarke, A.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Credential: A.S.
Enumeration Date: Mar 13, 2025
Last Updated: Mar 19, 2025

Practice Location

Address: 90 E 200 N
City: Logan
State: Utah
ZIP Code: 84321-4034
Phone: (435) 752-0750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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