Clark, Michael A
Clark, Michael A is an individual health care provider with primary practice located at 327 E Airport Dr , Carthage MO 64836-3402. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Clark, Michael A can be contacted via phone (417) 237-0604.Contact Information
Primary practice address
327 E Airport Dr
Carthage MO 64836-3402
Phone: (417) 237-0604
Fax: (417) 237-0613
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2022033941 | Missouri |
Profile Details
| NPI number | 1639958481 |
|---|---|
| LBN Legal business name | Clark, Michael A |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2023 |
| Last updated | Sep 21st, 2023 - 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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