Individual
JAQUITA B CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 SW OAKLEY AVE, TOPEKA, KS 66606-2039
(785) 215-8888
Mailing address
400 SW OAKLEY AVE, TOPEKA, KS 66606-2039
(785) 215-8888
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14507
KS
172V00000X
Community Health Worker
—
DE
Other
Enumeration date
10/06/2016
Last updated
03/17/2026
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