MICHELLE ANN CLARK

DERIDDER, LA
NPI1215176664
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: LA  OTT.Z11886)
Enumeration Date2009-02-09
Last Update Date2009-02-09
Business Address
-- MICHELLE ANN CLARK LOTR
457 C DEES RD
DERIDDER, LA 70634-8935
Phone number: 404-433-1208
Mailing Address
-- MICHELLE ANN CLARK LOTR
457 C DEES RD
DERIDDER, LA 70634-8935
Phone number: 404-433-1208
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