Individual
CHANTELL CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2581 ATLANTIC AVE, BROOKLYN, NY 11207-2412
(347) 337-6566
Mailing address
1027 LENOX RD, BROOKLYN, NY 11212-1142
(347) 337-6566
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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