Teri Lynn Clark MSW

NPI 1205061231 - Social Worker - 1041C0700X

NPI Details
NPI 1205061231
Gender Female
Enumeration Date 05/19/2009
Last Updated 05/19/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
3300 36TH ST SE
GRAND RAPIDS MI, 49512-2810, US
Phone (616) 831-5639
Fax (616) 942-0589
Business Location
3300 36TH ST SE
GRAND RAPIDS MI, 49512-2810, US
Phone (616) 831-5639
Fax (616) 942-0589
Toxanomy
Taxonomy Code 1041C0700X
License State Michigan
License Number 6801087125
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According to our database, Ms. Teri Lynn Clark MSW NPI is 1205061231, taxonomy code is 1041C0700X and license number is 6801087125, license state is located at Michigan. Teri Lynn Clark MSW physically located at 3300 36th St Se, Grand Rapids MI, 49512-2810. NPI Number Teri Lynn Clark MSW has the Individual type.

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1205061231 NPI number is provided on an as is basis without warranty of any kind. 1205061231 is maintained by the National Plan & Provider Enumeration System. The contents of Teri Lynn Clark MSW are for informational purposes only.