Clark, Carman Suzanne
Clark, Carman Suzanne is an sole proprietor health care provider with primary practice located at 149 Lee Byrd Rd Ste 11 , Loganville GA 30052-2310. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Clark, Carman Suzanne can be contacted via phone (678) 215-7236.Contact Information
Primary practice address
149 Lee Byrd Rd Ste 11
Loganville GA 30052-2310
Phone: (678) 215-7236
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC004465 | Georgia |
Profile Details
| NPI number | 1073702924 |
|---|---|
| LBN Legal business name | Clark, Carman Suzanne |
| Credentials | PSYCHOLOGIST, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2007 |
| Last updated | Aug 11th, 2021 - about 5 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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