MISS Raven Clark, BA

NPI #1952883407 in Thibodaux, Louisiana

Provider Information

NPI Number
1952883407
Entity Type
Individual
Name
MISS Raven Clark, BA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Credential
BA
Enumeration Date
Aug 31, 2018
Last Updated
Aug 31, 2018

Practice Location

Address
1418 TIGER DR
ZIP Code
70301-4337
Phone
(985) 449-4055

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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