Clark, Lauretta E
Clark, Lauretta E is an sole proprietor health care provider with primary practice located at 4068 E Pecos Rd , Gilbert AZ 85295-2529. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Clark, Lauretta E can be contacted via phone (480) 279-7321.Contact Information
Primary practice address
4068 E Pecos Rd
Gilbert AZ 85295-2529
Phone: (480) 279-7321
Fax: (480) 279-7305
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 101YS0200X | Arizona |
Profile Details
| NPI number | 1013194000 |
|---|---|
| LBN Legal business name | Clark, Lauretta E |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2008 |
| Last updated | Feb 11th, 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.
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