EBONIQUE CLARK

JACKSON, TN
NPI1104247584
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2014-01-02
Last Update Date2014-01-02
Business Address
EBONIQUE CLARK
238 SUMMAR DR
JACKSON, TN 38301-3906
Phone number: 731-541-8200
Mailing Address
EBONIQUE CLARK
1804 HIGHWAY 45 BYP STE 604
JACKSON, TN 38305-4436
Phone number: 731-512-1273
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