Clark, Charity Ann

Clark, Charity Ann is an individual health care provider with primary practice located at 2400 S Ridgewood Ave , South Daytona FL 32119-3097. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Clark, Charity Ann can be contacted via phone (386) 304-7600.

Contact Information

Primary practice address
2400 S Ridgewood Ave South Daytona FL 32119-3097
Phone: (386) 304-7600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1558804690
LBN Legal business name Clark, Charity Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2016
Last updated Nov 21st, 2016 - about 10 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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