Clark, Tia M

Clark, Tia M is an individual health care provider with primary practice located at 1490 University Blvd , Hamilton OH 45011-3305. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Clark, Tia M can be contacted via phone (513) 881-7189.

Contact Information

Primary practice address
1490 University Blvd Hamilton OH 45011-3305
Phone: (513) 881-7189
Fax: (513) 881-7188
Website:
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Health care specialties

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

Profile Details

NPI number 1528303567
LBN Legal business name Clark, Tia M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2012
Last updated Dec 3rd, 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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