Individual
LEVI ISAAC CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4201 ANDERSON AVE STE D110, MANHATTAN, KS 66503-7603
(785) 539-5455
Mailing address
701 ASH ST, ABILENE, KS 67410-4204
(785) 829-3660
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14221
KS
Other
Enumeration date
04/11/2026
Last updated
04/11/2026
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