Individual
HEATHER CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 GENERAL ST, BATESVILLE, AR 72501-9407
(870) 793-3200
(870) 793-3208
Mailing address
200 GENERAL ST, BATESVILLE, AR 72501-9407
(870) 793-3200
(870) 793-3208
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
05/17/2007
Last updated
03/03/2010
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