Individual provider · Type 1 NPI

Tanya Marie Clark, J.D.

Contractor · Southfield, MI

NPI number 1023342862 Active

Practice location

17601 Addison St
Southfield, MI 48075-2764

Mailing address

PO Box 182
Southfield, MI 48037-0182

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed
Community Health Worker 172V00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1023342862

Tanya Marie Clark, J.D.'s National Provider Identifier is 1023342862, issued on Sep 27, 2009. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Southfield, MI. The record was last updated on Sep 27, 2009.