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Individual

MICHELLE CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RTT PRACTITIONER

Contact information

Practice address
596 SILVER BEACH DR, JEROME, ID 83338-6416
(385) 279-1039
Mailing address
596 SILVER BEACH DR, JEROME, ID 83338-6416
(385) 279-1039

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary

Other

Enumeration date
02/26/2025
Last updated
03/03/2025
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