Clark, Kimberly R

Clark, Kimberly R is an individual health care provider with primary practice located at 5465 Main St , Sylvania OH 43560-2155. 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 R can be contacted via phone (419) 885-8800.

Contact Information

Primary practice address
5465 Main St Sylvania OH 43560-2155
Fax: (419) 885-8600
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X S1100497 Ohio

Profile Details

NPI number 1861786790
LBN Legal business name Clark, Kimberly R
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2011
Last updated Jun 8th, 2011 - 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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