Clark, Becky

Clark, Becky is an sole proprietor health care provider with primary practice located at 731 Tilghman Dr , Dunn NC 28334-5507. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Clark, Becky can be contacted via phone (910) 249-4219.

Contact Information

Primary practice address
731 Tilghman Dr Dunn NC 28334-5507
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C004606 North Carolina
Agencies / Community/Behavioral Health 251S00000X 1041C0700 North Carolina

Profile Details

NPI number 1376077255
LBN Legal business name Clark, Becky
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2017
Last updated Apr 18th, 2017 - about 9 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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