MRS. Graciela Maria Clark, B.S.

NPI #1679706717 in Rexburg, Idaho

Provider Information

NPI Number
1679706717
Entity Type
Individual
Name
MRS. Graciela Maria Clark, B.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker
Credential
B.S.
Enumeration Date
Aug 24, 2009
Last Updated
Aug 24, 2009

Practice Location

Address
430 W 5TH S APT 507
State
Idaho
ZIP Code
83440-2347
Phone
(208) 757-1330

Specialties & Taxonomy Codes

Specialty
Social Worker

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