| Doctor Name: | DAWN A CLARK |
| NPI Number: | 1134424583 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | RN332515 |
| Business Practice Address: | 2172a Us Route 127 N Eaton, OH - 453209289 |
| Business Phone Number: | 9374561915 |
| Business Fax Number: | 9374562208 |
| Mailing Address: | 2172a Us Route 127 N, EATON |
| State: | OH |
| Postal Code: | 453209289 |
| Phone Number: | 9374561915 |
| Fax Number: | 9374562208 |
| NPI Enumeration Date: | 01/17/2011 |
| NPI Last Update Date: | 01/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | RN332515 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |