Individual
MS. ANNE CLOCKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3353 LOUSMA DR SE, WYOMING, MI 49548-2251
(616) 241-6258
Mailing address
PO BOX 141, GRAND RAPIDS, MI 49501-0141
(616) 726-5114
(616) 243-2302
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/19/2011
Last updated
03/08/2019
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