RICHARD C CLARK

HATTIESBURG, MS
NPI1285866079
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MS  AD97-012C)
Enumeration Date2009-08-13
Last Update Date2009-08-13
Business Address
-- RICHARD C CLARK MDCAC
800 PINEVIEW DR
HATTIESBURG, MS 39401-7459
Phone number: 601-705-1901
Mailing Address
-- RICHARD C CLARK MDCAC
800 PINEVIEW DR
HATTIESBURG, MS 39401-7459
Phone number: 601-705-1901
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