Clark-Burch, Grace I.

Clark-Burch, Grace I. is an sole proprietor health care provider with primary practice located at 4711 Transit Rd Suite 3 Forestream Village, Depew NY 14043-4888. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clark-Burch, Grace I. can be contacted via phone (716) 706-5921.

Contact Information

Primary practice address
4711 Transit Rd Suite 3 Forestream Village Depew NY 14043-4888
Phone: (716) 706-5921
Fax: (716) 706-5923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R076093-1 New York

Profile Details

NPI number 1922048180
LBN Legal business name Clark-Burch, Grace I.
Credentials LCSW-R
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2006
Last updated May 8th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922048180 NPPES
New York Other 00030241501 UNIVERA
New York Other 000506354003 UNIVERA

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