Individual
MS. KRISTIAN DELANE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-5362
Mailing address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-5362
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7638
MS
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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