TERSIA CLARK

LAKE CHARLES, LA
NPI1336696228
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2016-09-08
Last Update Date2018-06-14
Business Address
TERSIA CLARK
2110 OAK PARK BLVD
LAKE CHARLES, LA 70601
Phone number: 337-475-0324
Mailing Address
TERSIA CLARK
2110 OAK PARK BLVD
LAKE CHARLES, LA 70601-7864
Phone number: