Clark, Tierra
Clark, Tierra is an sole proprietor health care provider with primary practice located at 8507 Main St , Ellicott City MD 21043-4997. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Clark, Tierra can be contacted via phone (443) 527-2785.Contact Information
Primary practice address
8507 Main St
Ellicott City MD 21043-4997
Phone: (443) 527-2785
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 24554 | Maryland |
Profile Details
NPI number | 1811342868 |
---|---|
LBN Legal business name | Clark, Tierra |
Credentials | LMSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 27th, 2016 |
Last updated | Jan 12th, 2022 - 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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