MICHAEL CLARK

CAPE GIRARDEAU, MO
NPI1700185410
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2011-03-21
Last Update Date2011-03-21
Business Address
-- MICHAEL CLARK
20 S SPRIGG ST
CAPE GIRARDEAU, MO 63703-6212
Phone number: 573-651-4177
Mailing Address
-- MICHAEL CLARK
20 S SPRIGG ST
CAPE GIRARDEAU, MO 63703-6212
Phone number: 573-651-4177
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