Clark, John Lewis

Clark, John Lewis is an individual health care provider with primary practice located at 1845 University Avenue West , St. Paul MN 55104. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Clark, John Lewis can be contacted via phone (651) 644-2600.

Contact Information

Primary practice address
1845 University Avenue West St. Paul MN 55104
Phone: (651) 644-2600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7084 Minnesota

Profile Details

NPI number 1285856559
LBN Legal business name Clark, John Lewis
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 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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