Individual
CAROL L CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11500 RODOAN CT, CINCINNATI, OH 45240-2027
(513) 970-8358
Mailing address
11500 RODOAN CT, CINCINNATI, OH 45240-2027
(513) 970-8358
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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