Individual
JASMINE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2611 CLEVELAND HWY, DALTON, GA 30721-8160
(706) 270-5033
Mailing address
1401 APPLEWOOD DR, DALTON, GA 30720-2699
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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