Clark, Edith

Clark, Edith is an sole proprietor health care provider with primary practice located at 1500 Franklin St , San Francisco CA 94109-4523. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Clark, Edith can be contacted via phone (415) 474-7310.

Contact Information

Primary practice address
1500 Franklin St San Francisco CA 94109-4523
Phone: (415) 474-7310
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X California
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1730552316
LBN Legal business name Clark, Edith
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2015
Last updated Jun 25th, 2020 - about 5 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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