Clark, Gail E

Clark, Gail E is an individual health care provider with primary practice located at 4024 Central Ave , St Petersburg FL 33711-1239. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clark, Gail E can be contacted via phone (727) 327-7656.

Contact Information

Primary practice address
4024 Central Ave St Petersburg FL 33711-1239
Phone: (727) 327-7656
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW8176 Florida

Profile Details

NPI number 1164473245
LBN Legal business name Clark, Gail E
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Mar 21st, 2008 - 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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