# HENRY LARRY CLARK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1982253696
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 372500000X | Chore Provider | — | — | — |
| 372600000X | Adult Companion | — | — | — |
| 374700000X | Technician | — | — | Yes |
| 3747A0650X | Attendant Care Provider | — | — | — |
| 376J00000X | Homemaker | — | — | — |

## Other

- **Enumeration date:** 09/05/2019
- **Last updated:** 09/05/2019