ANTOINETTE KELLY-CLARK

RUSTON, LA
NPI1417638800
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies103TC1900X Psychologist, Counseling
Enumeration Date2023-07-27
Last Update Date2024-08-22
Business Address
Mrs. ANTOINETTE KELLY-CLARK
171 WATER TANK RD
RUSTON, LA 71270-8550
Phone number: 318-548-7242
Mailing Address
Mrs. ANTOINETTE KELLY-CLARK
171 WATER TANK RD
RUSTON, LA 71270-8550
Phone number: 318-548-7242
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