Clark, Teresa

Clark, Teresa is an sole proprietor health care provider with primary practice located at 113 Lielmanis Ave , Hurlburt Field FL 32544-5613. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clark, Teresa can be contacted via phone (850) 884-2147.

Contact Information

Primary practice address
113 Lielmanis Ave Hurlburt Field FL 32544-5613
Phone: (850) 884-2147
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW11830 Florida

Profile Details

NPI number 1699939686
LBN Legal business name Clark, Teresa
Credentials LCSW, QS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2008
Last updated Dec 26th, 2023 - about last year

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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