Individual
MS. TEMPA TEMERA DOMINIQUE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 HIGHWAY 80 W STE R, CLINTON, MS 39056-4108
(601) 473-2106
(601) 473-2150
Mailing address
PO BOX 701, CLINTON, MS 39060-0701
(601) 473-2106
(601) 473-2150
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/09/2019
Last updated
08/26/2019
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