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Search › Minnesota › 390200000X

Casandra Clark

NPI 1902231210 · on the registry since 2013 · sole proprietor

Practice

Address
8682 Inwood Ave S
Cottage Grove, MN 55016
Phone
(651) 341-9660

Additional practice sites

  • 2265 Como Ave, Saint Paul, MN
  • 15251 Pleasant Valley Rd, Center City, MN

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
103TC0700X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-09-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota