NPI 1003449976
Amanda Clark
Practice location
- Address
- 1701 White St, McComb, MS 39648-2711
- Phone
- (601) 249-4218
- Fax
- (601) 249-4234
Registered specialties
Counselor
Primary
Registry record
- NPI
- 1003449976
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 Feb 2020
- Record last updated
- 19 Feb 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.