Individual
CARRIE ANN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 34, MOWRYSTOWN, OH 45155-0034
(937) 205-2775
Mailing address
PO BOX 60, MOWRYSTOWN, OH 45155-0060
(513) 582-8942
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/07/2025
Last updated
06/07/2025
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