Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Latossia Brunell Clark

Individual provider Registered Dietitian · NPI 1932689551

Latossia Brunell Clark is a Registered Dietitian in Crawford, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2018
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Practice location Address checks out

1058 George Bridges Rd
Crawford, MS 39743-9425
Phone: (662) 352-1375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 1067835 (MS)

Record details

NPI number1932689551
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 14, 2018
Last updated in NPPESAugust 14, 2018