Clark, Sandra Louise
Clark, Sandra Louise is an sole proprietor health care provider with primary practice located at 1885 University Ave W Suite 20, Saint Paul MN 55104-3489. 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, Sandra Louise can be contacted via phone (651) 373-0152.Contact Information
Primary practice address
1885 University Ave W Suite 20
Saint Paul MN 55104-3489
Phone: (651) 373-0152
Fax: (763) 767-3145
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 301712 | Minnesota |
Profile Details
| NPI number | 1306015284 |
|---|---|
| LBN Legal business name | Clark, Sandra Louise |
| Credentials | NCACII, LADC, CCJP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 26th, 2008 |
| Last updated | Feb 26th, 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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