| Diane Clark Llc | |
|
1445 Anderson Ave Manhattan KS 66502-4030 | |
| (785) 333-3793 | |
| Not Available |
| Full Name | Diane Clark Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1445 Anderson Ave, Manhattan, Kansas |
| Authorized Official Name and Position | Diane Clark (OWNER) |
| Authorized Official Contact | 7853333793 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Clark Llc 1445 Anderson Ave Manhattan KS 66502-4030 Ph: (785) 333-3793 | Diane Clark Llc 1445 Anderson Ave Manhattan KS 66502-4030 Ph: (785) 333-3793 |
| NPI Number | 1194358895 |
|---|---|
| Provider Enumeration Date | 02/20/2020 |
| Last Update Date | 02/20/2020 |
| Certification Date | 02/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194358895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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