Sandra Clark
Counselor, Mental Health in Orangeburg, SC. Individual provider (NPI-1).
NPI number1356808372
StatusActive
Last updated in NPPESFeb 26, 2019
Details
- NPI
- 1356808372
- Entity type
- Individual (NPI-1)
- Name
- Sandra Clark
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 26, 2019
- Last updated
- Feb 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
2319 Saint Matthews RdOrangeburg, SC 29118-2042
Phone 803-536-1571 · Fax 803-534-3860
Mailing address
2319 Saint Matthews RdOrangeburg, SC 29118-2042
Phone 803-536-1571 · Fax 803-534-3860
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