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Amanda L Clark

Case Manager/Care Coordinator in Benton Harbor, MI. Individual provider (NPI-1).

NPI number1952015265
StatusActive
Last updated in NPPESJan 11, 2023

Details

NPI
1952015265
Entity type
Individual (NPI-1)
Name
Amanda L Clark
Sex
Female
Sole proprietor
No
Enumeration date
Jan 11, 2023
Certification date
Jan 11, 2023
Last updated
Jan 11, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

1613 M 139
Benton Harbor, MI 49022-5748

Phone 269-925-0585 · Fax 269-927-1326

Mailing address

1485 M 139
Benton Harbor, MI 49022-5711

Phone 269-925-0585 · Fax 269-927-1326

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Other Case Manager/Care Coordinator providers in Benton Harbor, MI

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