Bridgette Clark MHPP

NPI 1295071785 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1295071785
Gender Female
Enumeration Date 01/02/2013
Last Updated 01/02/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
3348 HIGHWAY 62 W
MOUNTAIN HOME AR, 72653-6544, US
Phone (870) 424-9060
Fax (870) 424-9061
Business Location
3348 HIGHWAY 62 W
MOUNTAIN HOME AR, 72653-6544, US
Phone (870) 424-9060
Fax (870) 424-9061
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Bridgette Clark MHPP NPI is 1295071785, taxonomy code is 171M00000X Bridgette Clark MHPP physically located at 3348 Highway 62 W, Mountain Home AR, 72653-6544. NPI Number Bridgette Clark MHPP has the Individual type.

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1295071785 NPI number is provided on an as is basis without warranty of any kind. 1295071785 is maintained by the National Plan & Provider Enumeration System. The contents of Bridgette Clark MHPP are for informational purposes only.