TANYA MARIE CLARK

SOUTHFIELD, MI
NPI1023342862
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171W00000X Contractor
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2009-09-27
Last Update Date2009-09-27
Business Address
Mrs. TANYA MARIE CLARK J.D.
17601 ADDISON ST
SOUTHFIELD, MI 48075-2764
Phone number: 248-227-2029
Mailing Address
Mrs. TANYA MARIE CLARK J.D.
PO BOX 182
SOUTHFIELD, MI 48037-0182
Phone number: 248-227-2029
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