Clark, Marie

Clark, Marie is an sole proprietor health care provider with primary practice located at 141 Market Pl Suite 206, Fairview Heights IL 62208-2034. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Clark, Marie can be contacted via phone (314) 644-1557.

Contact Information

Primary practice address
141 Market Pl Suite 206 Fairview Heights IL 62208-2034
Phone: (314) 644-1557
Fax: (314) 453-4942
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 166000714 Illinois

Profile Details

NPI number 1649541673
LBN Legal business name Clark, Marie
Credentials M.A., LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2012
Last updated Jan 23rd, 2012 - about 14 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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