Individual
CLARK HUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NCC
Contact information
Practice address
156 HIGHWAY 51 N, BATESVILLE, MS 38606-2348
(662) 712-6257
Mailing address
2525 YOUREE DR, SUITE 110, SHREVEPORT, LA 71104-3671
(318) 742-3408
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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