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Michelle Clark, LOTR

NPI 1215176664 · on the registry since 2009 · sole proprietor

Practice

Address
457 C Dees Rd
Deridder, LA 70634
Phone
(404) 433-1208

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-02-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana