Individual
DR. CAROLINE CARMELA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4301 WILSON ST, FORT SILL, OK 73503-4472
(580) 442-4678
Mailing address
8901 ROCKVILLE PIKE, BETHESDA, MD 20889-0001
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101256935
VA
Other
Enumeration date
11/13/2013
Last updated
09/17/2018
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