NPI 1013318161

Kristian Delane Clark, LCSW

Practitioner Clinical Social Worker Biloxi, MS

Practice location

Address: 400 Veterans Ave, Biloxi, MS 39531-2410
Phone: (228) 523-5362

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence C7638 (MS)

Other Social Worker providers in Mississippi →

Registry record

NPI: 1013318161
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Sep 2014
Record last updated: 9 Sep 2014

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.