Female

Mrs. Tanya M. Clark J.D.

Contractor in Southfield, MI(View on Map)

Full Name

Mrs. Tanya Marie Clark J.D.

NPI Number

1023342862

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/27/2009

Specialties

(Taxonomies)

Code

171W00000X
172V00000X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 182
17601 ADDISON ST

City

Southfield
Southfield

State

MI
MI

Postal Code

48037-0182
48075-2764

Country

US
US

Telephone Number

(248) 227-2029
(248) 227-2029

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/27/2009

Provider Address

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