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AMBER CLARK

>> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1932684040

Individual Registrant:
 AMBER  CLARK 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2005 MCLAIN ST  NEWPORT, AR 72112-3662 US
Tel: 870-495-1990  Fax: --

Contact information for business:
2809 FOREST HOME RD  JONESBORO, AR 72401-5320 US
Tel: 866-972-1268  Fax: --

Registration Information:
NPI: 1932684040
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker
AR8961-M

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AR - Page 1



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