Individual
WILLIAM CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4211 HOSPITAL ST, PASCAGOULA, MS 39581-5320
(228) 217-9625
Mailing address
916 LIME ST, OCEAN SPRINGS, MS 39564-9187
(228) 217-9625
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MS
171M00000X
Case Manager/Care Coordinator
Primary
—
MS
Other
Enumeration date
11/21/2025
Last updated
03/09/2026
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