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Individual

KARYN KELLY CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS, BA

Contact information

Practice address
625 E MADISON AVE STE 6, RIVERTON, WY 82501-4712
(307) 851-3955
(307) 857-6974
Mailing address
PO BOX 1281, RIVERTON, WY 82501-0157
(307) 851-3955

Taxonomy

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

Other

Enumeration date
03/22/2018
Last updated
03/22/2018
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