PHILLIP CLARK

SHREVEPORT, LA
NPI1669991691
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2017-09-11
Last Update Date2019-08-16
Business Address
PHILLIP CLARK
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
Mailing Address
PHILLIP CLARK
1513 LINE AVE STE 225
SHREVEPORT, LA 71101-4621
Phone number:
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