Mr. Derek Anthony Clark
Mr. Derek Anthony Clark is a Case Manager/Care Coordinator in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2023.
- Licensed in
- PA
- In the registry since
- 2023
Practice location Address checks out
1235 Spring Garden StPhiladelphia, PA 19123-3206
Phone: (215) 769-3561
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X (PA) |
|---|
Record details
| NPI number | 1497469480 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 13, 2023 |
| Last updated in NPPES | January 13, 2023 |
| Certification date | January 13, 2023 |
| Mailing address | 1235 Spring Garden St, Philadelphia, PA 19123-3206 |
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