Clark, Gina Marie

Clark, Gina Marie is an sole proprietor health care provider with primary practice located at 1008 W Avenue J10 , Lancaster CA 93534-4828. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Clark, Gina Marie can be contacted via phone (661) 341-3900.

Contact Information

Primary practice address
1008 W Avenue J10 Lancaster CA 93534-4828
Phone: (661) 341-3900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 29038 California

Profile Details

NPI number 1871732412
LBN Legal business name Clark, Gina Marie
Credentials ACSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2009
Last updated May 31st, 2011 - about 13 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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