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1902552045
MADA CLARK
BATON ROUGE, LA
NPI
1902552045
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-02-28
Last Update Date
2022-02-28
Business Address
MADA CLARK
3084 WESTFORK DR STE C
BATON ROUGE, LA 70816-2254
Phone number: 225-296-6083
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Mailing Address
MADA CLARK
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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