Judy Lynn Clark BS

NPI 1033463435 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1033463435
Gender Female
Enumeration Date 11/07/2012
Last Updated 11/07/2012
Entity Type Individual
Active Over 3 years ago
Practice Location
JOHNSON CITY TN, 37601-1748, US
Phone (423) 631-0141
Fax (423) 631-0157
Business Location
PO BOX 5645
JOHNSON CITY TN, 37602-5645, US
Phone (423) 631-0141
Fax (423) 631-0157
Taxonomy Code 171M00000X
License State Tennessee
License Number 000270937
Remove 1033463435 NPI Number

According to our database, Mrs. Judy Lynn Clark BS NPI is 1033463435, taxonomy code is 171M00000X and license number is 000270937, license state is located at Tennessee. Judy Lynn Clark BS physically located at 2408 Susannah St, Johnson City TN, 37601-1748. NPI Number Judy Lynn Clark BS has the Individual type.

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1033463435 NPI number is provided on an as is basis without warranty of any kind. 1033463435 is maintained by the National Plan & Provider Enumeration System. The contents of Judy Lynn Clark BS are for informational purposes only.