Individual
SENTRAL BROWN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1551 E COUNTY LINE RD, JACKSON, MS 39211-1801
(601) 957-7343
Mailing address
3B RIVER OAKS PL # B, JACKSON, MS 39211-3006
(601) 941-7900
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0000008581
TN
1041C0700X
Clinical Social Worker
—
RI
Other
Enumeration date
11/16/2017
Last updated
03/07/2023
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