Clark, Sarah

Clark, Sarah is an individual health care provider with primary practice located at 15489 Dedeaux Rd , Gulfport MS 39503-2667. 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, Sarah can be contacted via phone (228) 357-5671.

Contact Information

Primary practice address
15489 Dedeaux Rd Gulfport MS 39503-2667
Phone: (228) 357-5671
Fax: (228) 357-5708
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1710668926
LBN Legal business name Clark, Sarah
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2023
Last updated Jul 31st, 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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