Individual
CHARMAINE TANIA CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASE MANAGER
Contact information
Practice address
567 NW LAKE WHITNEY PL, PORT SAINT LUCIE, FL 34986-1629
(954) 477-1428
Mailing address
567 NW LAKE WHITNEY PL, PORT ST LUCIE, FL 34986-1629
(772) 337-8164
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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