Clark, Joella Ruth
Clark, Joella Ruth is an individual health care provider with primary practice located at 72 Gail Harris St , Roswell NM 88203-8116. 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, Joella Ruth can be contacted via phone (575) 347-3400.Contact Information
Primary practice address
72 Gail Harris St
Roswell NM 88203-8116
Phone: (575) 347-3400
Fax: (575) 347-3435
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CSA0211641 | New Mexico |
Profile Details
| NPI number | 1063155729 |
|---|---|
| LBN Legal business name | Clark, Joella Ruth |
| Credentials | LSAA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2022 |
| Last updated | Apr 19th, 2022 - about 3 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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