Clark, Amanda

Clark, Amanda is an individual health care provider with primary practice located at 1224 Hillcrest Dr , Laurel MS 39440-4734. She recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as her primary health care specialty. Clark, Amanda can be contacted via phone (601) 342-2588.

Contact Information

Primary practice address
1224 Hillcrest Dr Laurel MS 39440-4734
Phone: (601) 342-2588
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1609590181
LBN Legal business name Clark, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2022
Last updated Sep 28th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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