Organization
CLARK& ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIERRA CLARK (INDEPENDENT CONTRACTOR)
(443) 527-2785
Entity
Organization
Contact information
Practice address
330 N CHARLES ST, 4B, BALTIMORE, MD 21201-4304
(443) 527-2785
Mailing address
330 N CHARLES ST, 4B, BALTIMORE, MD 21201-4304
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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