Individual
DIANA KRISTIN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 W NORFOLK AVE, NORFOLK, NE 68701-5006
(402) 370-3140
(402) 370-3555
Mailing address
900 W NORFOLK AVE, NORFOLK, NE 68701-5006
(402) 370-3140
(402) 370-3555
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/14/2010
Last updated
06/14/2010
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