Clark, Susan Marie
Clark, Susan Marie is an individual health care provider with primary practice located at 112 S Water St Ste B , Kent OH 44240-3689. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Clark, Susan Marie can be contacted via phone (330) 968-8224.Contact Information
Primary practice address
112 S Water St Ste B
Kent OH 44240-3689
Phone: (330) 968-8224
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | C1000469 | Ohio |
Profile Details
| NPI number | 1871780940 |
|---|---|
| LBN Legal business name | Clark, Susan Marie |
| Credentials | LPCC-S |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2007 |
| Last updated | Apr 17th, 2019 - about 6 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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