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Charity Clark, PTA
NPI 1528634235 · on the registry since 2021
Practice
- Address
- 4825 Emerald St
Norton Shores, MI 49441 - Phone
- (231) 215-0691
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-06-02
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 Michigan