MRS. ANTOINETTE KELLY-CLARK

Case Manager/Care Coordinator

Active Individual
NPI: 1417638800

Practice Address

171 WATER TANK RD
Ruston, LA 71270

Phone: (318) 548-7242

Specialties

Specialty Code Primary License
Psychologist - Counseling 103TC1900X No -
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1417638800 is the National Provider Identifier for MRS. ANTOINETTE KELLY-CLARK, a Case Manager/Care Coordinator provider located in Ruston, LA. This NPI was enumerated on July 27, 2023.
MRS. ANTOINETTE KELLY-CLARK practices at 171 WATER TANK RD, Ruston, LA 71270.

Quick Facts

NPI
1417638800
Type
Individual
Enumerated
Jul 27, 2023
Last Updated
Aug 22, 2024

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