Clark, Korinne L
Clark, Korinne L is an individual health care provider with primary practice located at 3095 Kettering Blvd , Moraine OH 45439-1983. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Clark, Korinne L can be contacted via phone (937) 293-8300.Contact Information
Primary practice address
3095 Kettering Blvd
Moraine OH 45439-1983
Phone: (937) 293-8300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | E.2203025 | Ohio |
Profile Details
| NPI number | 1083967582 |
|---|---|
| LBN Legal business name | Clark, Korinne L |
| Credentials | MS,LPCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 22nd, 2012 |
| Last updated | Aug 1st, 2022 - about 3 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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