FREDERICK CLARK

GRAND RAPIDS, MI
NPI1922512607
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2017-11-17
Last Update Date2025-03-17
Business Address
FREDERICK CLARK
3300 36TH ST SE
GRAND RAPIDS, MI 49512-2810
Phone number: 616-831-5660
Mailing Address
FREDERICK CLARK
3300 36TH ST SE
GRAND RAPIDS, MI 49512-2810
Phone number: 616-831-5660
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