Shawanda B Clarke, ba, M.Ed
Case Manager/Care Coordinator in Union City, GA. Individual provider (NPI-1).
NPI number1497096218
StatusActive
Last updated in NPPESMar 4, 2013
Details
- NPI
- 1497096218
- Entity type
- Individual (NPI-1)
- Name
- Shawanda B Clarke
- Credential
- ba, M.Ed
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 4, 2013
- Last updated
- Mar 4, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 104100000X | Social Worker | – | – | |
| 101Y00000X | Counselor | – | – | |
| 172V00000X | Community Health Worker | – | – |
Practice location
120 Mumsford CtUnion City, GA 30291-3471
Phone 470-257-1371
Mailing address
120 Mumsford CtUnion City, GA 30291-3471
Phone 470-257-1371
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