Mrs. Tanya Marie Clark, JD
Mrs. Tanya Marie Clark, JD is a Contractor in Southfield, Michigan. Registered with an NPI since 2009.
- In the registry since
- 2009
- Specialties on file
- 2
Practice location Address checks out
17601 Addison StSouthfield, MI 48075-2764
Phone: (248) 227-2029
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Specialties & licences
| Contractor (primary) | Taxonomy 171W00000X |
|---|---|
| Community Health Worker | Taxonomy 172V00000X |
Record details
| NPI number | 1023342862 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | JD |
| Sole proprietor | No |
| NPI enumerated | September 27, 2009 |
| Last updated in NPPES | September 27, 2009 |
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