Individual
CARMEN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
422 W 4TH AVE, FLINT, MI 48503-2404
(810) 496-5500
Mailing address
1125 CARTER DR, FLINT, MI 48532-2715
(810) 962-6293
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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