Clark, Charlotte Renee

Clark, Charlotte Renee is an individual health care provider with primary practice located at 4335 Steve Reynolds Blvd , Norcross GA 30093-3362. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Clark, Charlotte Renee can be contacted via phone (770) 822-9115.

Contact Information

Primary practice address
4335 Steve Reynolds Blvd Norcross GA 30093-3362
Phone: (770) 822-9115
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1851967459
LBN Legal business name Clark, Charlotte Renee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2021
Last updated Jun 3rd, 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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