Russell Clark
Russell Clark is a Case Manager/Care Coordinator in Saint Louis, Missouri. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 3
Practice location Address checks out
3649 Meramec StSaint Louis, MO 63116-4411
Phone: (314) 930-9384
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
| Community Health Worker | Taxonomy 172V00000X |
Record details
| NPI number | 1659111508 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 29, 2024 |
| Last updated in NPPES | May 29, 2024 |
| Certification date | May 29, 2024 |
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