Individual
MARY DENISE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD(DONA)
Contact information
Practice address
1070 MILO CIR APT B, LAFAYETTE, CO 80026-3089
(303) 604-4470
Mailing address
1070 MILO CIR #B, LAFAYETTE, CO 80026
(303) 604-4470
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
CD(DONA)
CO
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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