Clark, Deidre' Marie

Clark, Deidre' Marie is an individual health care provider with primary practice located at 200 4Th Ave W Ste 300 , Shakopee MN 55379-1220. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Clark, Deidre' Marie can be contacted via phone (952) 496-8445.

Contact Information

Primary practice address
200 4Th Ave W Ste 300 Shakopee MN 55379-1220
Phone: (952) 496-8445
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 3698 Minnesota

Profile Details

NPI number 1245829548
LBN Legal business name Clark, Deidre' Marie
Credentials MA, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2021
Last updated Jan 12th, 2021 - about 5 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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