Individual
ERICA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
785 HICKORY ST, DAWSON, MN 56232-2251
(612) 735-3067
Mailing address
785 HICKORY ST, DAWSON, MN 56232-2251
(612) 735-3067
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/18/2022
Last updated
09/20/2022
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