IndividualActive
Christine Clark
NPI 1164844239 · Community Health Worker · Frederick, MD
Provider details
- NPI number
- 1164844239
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
65 Thomas Johnson Dr
Suite a
Frederick, MD 21702-4371
Phone: (240) 651-5280
Fax: (301) 695-9694
Mailing address
65 Thomas Johnson Dr
Frederick, MD 21702-4371
Registry dates
- Enumerated
- 2014-01-09
- Last updated
- 2014-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.