Individual
ALYSSA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1216 SUNBURY RD, COLUMBUS, OH 43219-2086
(614) 447-0424
Mailing address
1216 SUNBURY RD, COLUMBUS, OH 43219-2086
(614) 447-0424
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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