Clark, Tierra

Clark, Tierra is an sole proprietor health care provider with primary practice located at 8507 Main St , Ellicott City MD 21043-4997. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Clark, Tierra can be contacted via phone (443) 527-2785.

Contact Information

Primary practice address
8507 Main St Ellicott City MD 21043-4997
Phone: (443) 527-2785
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X 24554 Maryland

Profile Details

NPI number 1811342868
LBN Legal business name Clark, Tierra
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2016
Last updated Jan 12th, 2022 - about 4 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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