Shannon Clark

NPI #1568337616 in Logan, Ohio

Provider Information

NPI Number: 1568337616
Entity Type: Individual
Name: Shannon Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Homemaker
Enumeration Date: Oct 8, 2025
Last Updated: Oct 8, 2025

Practice Location

Address: 311 W FRONT ST
City: Logan
State: Ohio
ZIP Code: 43138-1831
Phone: (740) 270-4484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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