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Contact Information

BRIDGET S CLARK, LCSWA
6271 HORNER SIDING RD
OXFORD, NC27565
 Phone: 919-603-4408
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for BRIDGET S CLARK · (Female)

NPI Number 1528536059
Status Active
Credentials LCSWA
Entity Individual
Enumeration date 11/02/2018
Last updated 11/02/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NC License # P012712
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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