JERROD CLARK

KLAWOCK, AK
NPI1437752698
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2020-11-19
Last Update Date2021-02-09
Business Address
JERROD CLARK
6340 G STREET
KLAWOCK, AK 99925
Phone number: 502-226-0663
Mailing Address
JERROD CLARK
721 STEDMAN ST
KETCHIKAN, AK 99901-6632
Phone number: 907-225-7825
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