FREDERICK CLARK

NOVI, MI
NPI1922512607
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2017-11-17
Last Update Date2021-04-16
Business Address
FREDERICK CLARK
41521 W 11 MILE RD
NOVI, MI 48375-1803
Phone number: 804-244-6728
Mailing Address
FREDERICK CLARK
1800 N MCCORD RD
TOLEDO, OH 43615-8702
Phone number: