Organization
ROSEMARY CLARK, INC
Active
Other names
Whole Health
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY STALLWORTH CLARK LPC (PRESIDENT)
(843) 564-8275
Entity
Organization
Contact information
Practice address
3 GODFREY PL STE 1, BLUFFTON, SC 29910-9054
(843) 564-8275
(843) 781-8909
Mailing address
3 GODFREY PL STE 2, BLUFFTON, SC 29910-9054
(843) 564-8275
(843) 781-8909
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5583
SC
101YP2500X
Professional Counselor
LPC006327
GA
106H00000X
Marriage & Family Therapist
0717001227
VA
Other
Enumeration date
02/03/2016
Last updated
08/02/2019
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