Clark, Paul G
Clark, Paul G is an sole proprietor health care provider with primary practice located at 1 Gold Leaf Walk Way , Black Mountain NC 28711-2804. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Clark, Paul G can be contacted via phone (703) 740-0095.Contact Information
Primary practice address
1 Gold Leaf Walk Way
Black Mountain NC 28711-2804
Phone: (703) 740-0095
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW0002836 | Florida |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904-001362 | Virginia |
Profile Details
| NPI number | 1174893945 |
|---|---|
| LBN Legal business name | Clark, Paul G |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2012 |
| Last updated | May 18th, 2023 - about last year |
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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