TARA L CLARK

ASHLAND, KY
NPI1871259028
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY  3016776)
Enumeration Date2021-11-11
Last Update Date2023-01-04
Business Address
TARA L CLARK
2201 LEXINGTON AVE
ASHLAND, KY 41101-2843
Phone number: 606-408-4000
Mailing Address
TARA L CLARK
PO BOX 2379
ASHLAND, KY 41105-2379
Phone number:
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