Individual
ANDRE BERNARD CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4966 GLENWAY AVE, CINCINNATI, OH 45238-3905
(513) 751-7747
(513) 751-7747
Mailing address
2600 VICTORY PKWY, CINCINNATI, OH 45206-1711
(514) 751-7747
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OH
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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