Clark, Christine Mary

Clark, Christine Mary is an individual health care provider with primary practice located at 4560 Clayton Ave , Saint Louis MO 63110-1502. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Clark, Christine Mary can be contacted via phone (314) 977-0175.

Contact Information

Primary practice address
4560 Clayton Ave Saint Louis MO 63110-1502
Phone: (314) 977-0175
Fax: (314) 977-0023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1942411269
LBN Legal business name Clark, Christine Mary
Credentials M.A . ED.
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2007
Last updated Jul 8th, 2007 - about 18 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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