Individual
MRS. GAYNELL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
2634 CAPITAL CIR NE, TALLAHASSEE, FL 32308-4106
(850) 523-3333
Mailing address
465 HIGH POINT LN, TALLAHASSEE, FL 32301-3443
(850) 688-0700
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/05/2013
Last updated
08/08/2023
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