Individual
MRS. AMY CHRISTINE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1626 MORGAN ST STE 4, KEOKUK, IA 52632-3424
(319) 249-5777
Mailing address
1626 MORGAN ST STE 4, KEOKUK, IA 52632-3424
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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