Clark, Kristian Willow
Clark, Kristian Willow is an individual health care provider with primary practice located at 89 Lakewind Ct , Sanford NC 27332-0612. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Clark, Kristian Willow can be contacted via phone (919) 601-4785.Contact Information
Primary practice address
89 Lakewind Ct
Sanford NC 27332-0612
Phone: (919) 601-4785
Fax: (910) 356-9466
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1023869955 |
|---|---|
| LBN Legal business name | Clark, Kristian Willow |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2024 |
| Last updated | Mar 28th, 2024 - about 2 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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