MRS. TANYA CLARK, J.D.

Contractor

Active Individual
NPI: 1023342862

Practice Address

17601 ADDISON ST
Southfield, MI 48075

Phone: (248) 227-2029

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -
Community Health Worker 172V00000X No -

Frequently Asked Questions

NPI 1023342862 is the National Provider Identifier for MRS. TANYA CLARK, J.D., a Contractor provider located in Southfield, MI. This NPI was enumerated on September 27, 2009.
MRS. TANYA CLARK, J.D. practices at 17601 ADDISON ST, Southfield, MI 48075.

Quick Facts

NPI
1023342862
Type
Individual
Enumerated
Sep 27, 2009
Last Updated
Sep 27, 2009

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