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Contact Information

TEMPA TEMERA D CLARK
604 HIGHWAY 80 W STE R
CLINTON, MS39056-4108
 Phone: 601-473-2106
 Fax: 601-473-2150
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for TEMPA TEMERA D CLARK · (Female)

NPI # 1366001810
Status Active
Credentials
Entity Individual
Enumeration date 06/09/2019
Last updated 08/26/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers Not Available
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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