Individual
BARBARA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1509 AVENUE P STE B, DODGE CITY, KS 67801-7012
(620) 225-1442
(620) 225-1709
Mailing address
1509 AVENUE P SUITE B, DODGE CITY, KS 67801
(620) 225-1442
(620) 225-1709
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7322
KS
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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