Clark, Rose

Clark, Rose is an individual health care provider with primary practice located at 108 N Main St Suite 500, South Bend IN 46601. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Clark, Rose can be contacted via phone (574) 246-1244.

Contact Information

Primary practice address
108 N Main St Suite 500 South Bend IN 46601
Phone: (574) 246-1244
Fax: (574) 246-1250
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 33004605A Indiana
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 33004605A Indiana

Profile Details

NPI number 1346386695
LBN Legal business name Clark, Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jul 8th, 2007 - about 17 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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