Individual
MS. ELIZABETH CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
914 HARRISON AVE, PANAMA CITY, FL 32401-2528
(850) 747-5411
Mailing address
914 HARRISON AVE., PANAMA CITY, FL 32401
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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