Individual
ELIZABETH MARGARET CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADT
Contact information
Practice address
2209 JEFFERSON ST, ALEXANDRIA, MN 56308-4843
(320) 815-5711
Mailing address
515 ROGERS AVE, GRAND RAPIDS, MN 55744-8655
(320) 266-4607
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DT70
MN
Other
Enumeration date
06/29/2020
Last updated
11/17/2025
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