Clark, Ronald Austin
Clark, Ronald Austin is an individual health care provider with primary practice located at 215 Loudoun St Se , Leesburg VA 20175-3115. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Clark, Ronald Austin can be contacted via phone (703) 771-7555.Contact Information
Primary practice address
215 Loudoun St Se
Leesburg VA 20175-3115
Phone: (703) 771-7555
Fax: (703) 771-7556
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904000736 | Virginia |
Profile Details
| NPI number | 1508908427 |
|---|---|
| LBN Legal business name | Clark, Ronald Austin |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2007 |
| Last updated | Jul 9th, 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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