Individual
TANYA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMA
Contact information
Practice address
33 WALKER STREET, ASHLAND, ME 04732
(207) 538-3700
(207) 528-2595
Mailing address
33 WALKER ST, ASHLAND, ME 04732-3429
(207) 538-3700
(207) 528-2595
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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