Clark, Florence Tacy
Clark, Florence Tacy is an sole proprietor health care provider with primary practice located at 1915 D St , Antioch CA 94509-2571. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Clark, Florence Tacy can be contacted via phone (925) 754-3673.Contact Information
Primary practice address
1915 D St
Antioch CA 94509-2571
Phone: (925) 754-3673
Fax: (925) 754-2002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1386857670 |
|---|---|
| LBN Legal business name | Clark, Florence Tacy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2007 |
| Last updated | Feb 5th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386857670 | NPPES |
| California | Other | 07553 | BRENTWOOD ADOL TX |
| California | Other | 07533 | BRENTWOOD ADOL TX |
| California | Other | 07536 | BRENTWOOD ADOL TX |
| California | Other | 07552 | BRENTWOOD ADOL TX |
| California | Other | 07556 | BRENTWOOD ADOL TX |
| California | Other | 070753 | BRENTWOOD ADOL TX |
| California | Other | 0753 | BRENTWOOD ADOL TX |
| California | Other | 07531 | BRENTWOOD ADOL TX |
| California | Other | 07551 | BRENTWOOD ADOL TX |
| California | Other | 070726 | BRENTWOOD ADOL TX |
| California | Other | 0726 | BRENTWOOD ADOL TX |
| California | Other | 07534 | BRENTWOOD ADOL TX |
| California | Other | 07555 | BRENTWOOD ADOL TX |
| California | Other | 07557 | BRENTWOOD ADOL TX |
| California | Other | 56678 | BRENTWOOD ADOL TX |
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