Clark, David

Clark, David is an sole proprietor health care provider with primary practice located at 980 Keaton Dr , Troy MI 48098-1861. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Clark, David can be contacted via phone (248) 879-1277.

Contact Information

Primary practice address
980 Keaton Dr Troy MI 48098-1861
Phone: (248) 879-1277
Fax: (248) 250-6919
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801002738 Michigan

Profile Details

NPI number 1073611448
LBN Legal business name Clark, David
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Sep 21st, 2010 - about 16 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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