Individual
CAITLIN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2878 N GREGG AVE, APT 6, FAYETTEVILLE, AR 72703-5556
(479) 287-8851
Mailing address
2878 N GREGG AVE, APT 6, FAYETTEVILLE, AR 72703-5556
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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