Clark, Evelyn S

Clark, Evelyn S is an individual health care provider with primary practice located at 101 N La Brea Ave Suite301, Inglewood CA 90301-1769. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Clark, Evelyn S can be contacted via phone (310) 412-0202.

Contact Information

Primary practice address
101 N La Brea Ave Suite301 Inglewood CA 90301-1769
Phone: (310) 412-0202
Fax: (310) 412-9581
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC California

Profile Details

NPI number 1366569436
LBN Legal business name Clark, Evelyn S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Jul 8th, 2007 - about 17 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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