Ms Tempa Temera Dominique Clark, | |
604 Highway 80 W Ste R, Clinton, MS 39056-4108 | |
(601) 473-2106 | |
(601) 473-2150 |
Full Name | Ms Tempa Temera Dominique Clark |
---|---|
Gender | Female |
Speciality | Case Manager/care Coordinator |
Location | 604 Highway 80 W Ste R, Clinton, Mississippi |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366001810 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ms Tempa Temera Dominique Clark, Po Box 701, Clinton, MS 39060-0701 Ph: (601) 473-2106 | Ms Tempa Temera Dominique Clark, 604 Highway 80 W Ste R, Clinton, MS 39056-4108 Ph: (601) 473-2106 |
News Archive
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