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Individual
MRS. VICKI LYNN CLARK
Active
Individual
MRS. VICKI LYNN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S 0028386
OH
163W00000X
Registered Nurse
RN 185313
OH
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/11/2008
Last updated
01/05/2018
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