Clark, Kevin

Clark, Kevin is an individual health care provider with primary practice located at 385 Tremont Ave , East Orange NJ 07018-1023. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Clark, Kevin can be contacted via phone (973) 676-1000.

Contact Information

Primary practice address
385 Tremont Ave East Orange NJ 07018-1023
Phone: (973) 676-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1104255546
LBN Legal business name Clark, Kevin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2013
Last updated Nov 6th, 2013 - about 11 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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