Ashley Rae Clark, CASE MANAGER

NPI #1942879176 in Fairborn, Ohio

Provider Information

NPI Number: 1942879176
Entity Type: Individual
Name: Ashley Rae Clark, CASE MANAGER
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Credential: CASE MANAGER
Enumeration Date: Jun 22, 2021
Last Updated: Jun 22, 2021

Practice Location

Address: 188 W HEBBLE AVE
City: Fairborn
State: Ohio
ZIP Code: 45324-4960
Phone: (513) 594-0583

Specialties & Taxonomy Codes

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

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