KORTNEY BOOTH CLARK

EVANSTON, WY
NPI1477024149
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-12-06
Last Update Date2018-12-06
Business Address
KORTNEY BOOTH CLARK Case Management
322 GANNETT DR
EVANSTON, WY 82930-8722
Phone number: 307-679-7105
Mailing Address
KORTNEY BOOTH CLARK Case Management
322 GANNETT DR
EVANSTON, WY 82930-8722
Phone number: 307-679-7105