Individual
BRIANNI CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 N REDMOND RD, JACKSONVILLE, AR 72076-3622
(501) 533-6302
(501) 241-1466
Mailing address
905 N REDMOND RD, JACKSONVILLE, AR 72076-3622
(501) 533-6302
(501) 241-1466
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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