Jennifer Isabel Clark
Case Manager/Care Coordinator in Bronx, NY. Individual provider (NPI-1).
NPI number1033463575
StatusActive
Last updated in NPPESNov 6, 2012
Details
- NPI
- 1033463575
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jennifer Isabel Clark
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 6, 2012
- Last updated
- Nov 6, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
348 E 146th StBronx, NY 10451-5702
Phone 718-585-0614
Mailing address
539 Lenox Ave Apt 3aNew York, NY 10037-1815
Phone 718-585-0614
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