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Individual

DONALD CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
SHERWOOD SHOPPING CENTER 146 MCGHEE DR, BATON ROUGE, LA 70815
(225) 275-7273
Mailing address
SHERWOOD SHOPPING CENTER 146 MCGHEE DR, BATON ROUGE, LA 70815
(225) 275-7273

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
12/06/2022
Last updated
12/06/2022
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