Individual
MELESHA CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 STOCKDALE RD, COPPERAS COVE, TX 76522-4464
(917) 960-6421
Mailing address
825 STOCKDALE RD, COPPERAS COVE, TX 76522-4464
(917) 960-6421
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172A00000X
Driver
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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