Clark, Kimberly
Clark, Kimberly is an individual health care provider with primary practice located at 4350 Woodland Ave , Jackson MS 39206-3955. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Clark, Kimberly can be contacted via phone (601) 572-3703.Contact Information
Primary practice address
4350 Woodland Ave
Jackson MS 39206-3955
Phone: (601) 572-3703
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | M5542 | Mississippi |
Profile Details
| NPI number | 1841400868 |
|---|---|
| LBN Legal business name | Clark, Kimberly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Popular Providers
-
Williams, Linda Fay
200 N Congress St Suite 100, Jackson MS 39201-1902 -
Johnson-Orr, Alfrenett
370 Elms Court Cir , Jackson MS 39204-4332 -
Barlow, Cynthia P
1500 E Woodrow Wilson Ave Social Work Department, Jackson MS 39216-5116 -
Jones, Shawana Renae
1500 E Woodrow Wilson Ave , Jackson MS 39216-5116 -
Malone, Thomas
1500 E Woodrow Wilson Ave 116C, Jackson MS 39216-5116 -
Davis, Yolanda Renee
1500 E Woodrow Wilson Dr , Jackson MS 39216-5116 -
Mccoy, Sherry Ivona
1500 E Woodrow Wilson Ave , Jackson MS 39216-5116 -
Washington, Se'Deidrui K
200 N Congress St Suite 100, Jackson MS 39201-1902