Ebonique Clark
Ebonique Clark is a Case Manager/Care Coordinator in Jackson, Tennessee. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
238 Summar DrJackson, TN 38301-3906
Phone: (731) 541-8200
Fax: (731) 660-8739
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1104247584 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 2, 2014 |
| Last updated in NPPES | January 2, 2014 |
| Mailing address | 1804 Highway 45 Byp, Ste 604, Jackson, TN 38305-4436 |
Other providers in Jackson
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Leonia Carter, CASEMANAGER
238 Summar Dr, Jackson, TN 38301-3906 · (731) 935-8200
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Jennifer N Chalk, CASEMANAGER
238 Summar Dr, Jackson, TN 38301-3906 · (731) 935-8200
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Jeffrey B Chambers, CASEMANAGER
238 Summar Dr, Jackson, TN 38301-3906 · (731) 935-8200
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April Clanton, CLINICIAN
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118 N Liberty St, Jackson, TN 38301-6221 · (731) 313-3155
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Robyn Crawford
238 Summar Dr, Jackson, TN 38301-3906 · (731) 541-8200
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Rhonda Jean Davis, CM
238 Summar Dr, Jackson, TN 38301-3906 · (731) 541-8344
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Doris Doss, CRISISCLINICIAN
238 Summar Dr, Jackson, TN 38301-3906 · (731) 935-8200