Individual
JOHN A CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MASTER DEGREE
Contact information
Practice address
2439 MANHATTAN BLVD STE 402, HARVEY, LA 70058-5469
(504) 304-4097
(540) 218-7986
Mailing address
2439 MANHATTAN BLVD STE 402, HARVEY, LA 70058-5469
(504) 304-4097
(540) 218-7986
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/23/2015
Last updated
11/29/2023
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