Individual
DAJEANNE' CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 S BROAD ST STE 7, NEW ORLEANS, LA 70119-6447
(504) 309-9991
Mailing address
200 S BROAD ST STE 7, NEW ORLEANS, LA 70119-6447
(504) 309-9991
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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