Clark, Connie

Clark, Connie is an individual health care provider with primary practice located at 2347 Rossville Blvd , Chattanooga TN 37408-2250. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Clark, Connie can be contacted via phone (423) 265-3122.

Contact Information

Primary practice address
2347 Rossville Blvd Chattanooga TN 37408-2250
Phone: (423) 265-3122
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X Tennessee

Profile Details

NPI number 1578238382
LBN Legal business name Clark, Connie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2021
Last updated Aug 13th, 2021 - about 3 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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