Clark, David
Clark, David is an sole proprietor health care provider with primary practice located at 980 Keaton Dr , Troy MI 48098-1861. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Clark, David can be contacted via phone (248) 879-1277.Contact Information
Primary practice address
980 Keaton Dr
Troy MI 48098-1861
Phone: (248) 879-1277
Fax: (248) 250-6919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801002738 | Michigan |
Profile Details
| NPI number | 1073611448 |
|---|---|
| LBN Legal business name | Clark, David |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Sep 21st, 2010 - about 15 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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