Clark, Daniel W
Clark, Daniel W is an sole proprietor health care provider with primary practice located at 1405 Harrison Ave Nw Ste 205 , Olympia WA 98502-5327. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Clark, Daniel W can be contacted via phone (360) 586-8492.Contact Information
Primary practice address
1405 Harrison Ave Nw Ste 205
Olympia WA 98502-5327
Phone: (360) 586-8492
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY1791 | Washington |
Profile Details
| NPI number | 1619168796 |
|---|---|
| LBN Legal business name | Clark, Daniel W |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2007 |
| Last updated | Aug 5th, 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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