Individual
DEIRDRE DANIELLE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2844 HAMPTON MEADOW DR, TALLAHASSEE, FL 32311-8124
(850) 877-3212
Mailing address
2711 W 15TH ST, PANAMA CITY, FL 32401-1366
(850) 769-6001
(850) 769-6003
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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