Clark, Sandra Denice

Clark, Sandra Denice is an individual health care provider with primary practice located at 5701 N Hills St , Meridian MS 39307-2903. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Clark, Sandra Denice can be contacted via phone (601) 581-7562.

Contact Information

Primary practice address
5701 N Hills St Meridian MS 39307-2903
Phone: (601) 581-7562
Fax: (601) 581-7676
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 0804 Mississippi
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH0061 Mississippi
Behavioral Health & Social Service Providers / Professional 101YP2500X 0804 Mississippi
Behavioral Health & Social Service Providers / School 101YS0200X 168226 Mississippi

Profile Details

NPI number 1205142106
LBN Legal business name Clark, Sandra Denice
Credentials ED.S
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2010
Last updated Aug 31st, 2010 - about 14 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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