Olivia Clark
Olivia Clark is a Peer Specialist in Grand Rapids, Michigan. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1115 Ball Ave NEGrand Rapids, MI 49505-5904
Phone: (616) 456-6571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1992564983 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 13, 2024 |
| Last updated in NPPES | March 13, 2024 |
| Certification date | March 13, 2024 |
| Mailing address | 14 Burton St Se, Grand Rapids, MI 49507-3057 |
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