Clark, Mary Watson

Clark, Mary Watson is an individual health care provider with primary practice located at 410 Church St Se , Minneapolis MN 55455-0222. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Clark, Mary Watson can be contacted via phone (612) 625-8400.

Contact Information

Primary practice address
410 Church St Se Minneapolis MN 55455-0222
Phone: (612) 625-8400
Fax: (612) 677-3321
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 6801066900 Michigan
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801066900 Michigan
Behavioral Health & Social Service Providers / Clinical 1041C0700X 21255 Minnesota

Profile Details

NPI number 1720127988
LBN Legal business name Clark, Mary Watson
Credentials LICSW, LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jun 11th, 2024 - about last year

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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