Teresa Octavia Clark, QP
Teresa Octavia Clark, QP is a Case Manager/Care Coordinator in Shreveport, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
9403 Mansfield RdShreveport, LA 71118-3815
Phone: (318) 861-8938
Fax: (318) 862-3554
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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 | 1962931733 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | QP |
| Sole proprietor | Yes |
| NPI enumerated | June 6, 2017 |
| Last updated in NPPES | August 14, 2019 |
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Allison Simone Clark
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