Helen Y Clark Company | |
223 1st St Moncks Corner SC 29461-3726 | |
(843) 761-5707 | |
(843) 899-2184 |
Full Name | Helen Y Clark Company |
---|---|
Speciality | Social Worker - Clinical |
Location | 223 1st St, Moncks Corner, South Carolina |
Authorized Official Name and Position | Helen Yolanda Clark (PRESIDENT/OWNER) |
Authorized Official Contact | 8437615707 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Helen Y Clark Company 223 1st St Moncks Corner SC 29461-3726 Ph: (843) 761-5707 | Helen Y Clark Company 223 1st St Moncks Corner SC 29461-3726 Ph: (843) 761-5707 |
NPI Number | 1366883464 |
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Provider Enumeration Date | 07/17/2013 |
Last Update Date | 07/17/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366883464 | NPI | - | NPPES |
QM0260 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2212 (South Carolina) | Primary |
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