SHANTELL CLARK

SOUTHGATE, MI
NPI1982956892
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: MI  6801093377)
Enumeration Date2012-10-03
Last Update Date2012-10-03
Business Address
Ms. SHANTELL CLARK MSW
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195-2507
Phone number: 734-324-8326
Mailing Address
Ms. SHANTELL CLARK MSW
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195-2507
Phone number: 734-324-8326
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