Individual
GRETA L CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2521 E 15TH ST, CASPER, WY 82609-4126
(307) 237-7444
Mailing address
PO BOX 725, HANNA, WY 82327-0725
(307) 851-4580
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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