Clark, Selene Alexandra

Clark, Selene Alexandra is an individual health care provider with primary practice located at 1061 Pleasant St , New Bedford MA 02740-6728. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Clark, Selene Alexandra can be contacted via phone (508) 996-8572.

Contact Information

Primary practice address
1061 Pleasant St New Bedford MA 02740-6728
Phone: (508) 996-8572
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1033590153
LBN Legal business name Clark, Selene Alexandra
Credentials M.S.W.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2015
Last updated Jun 9th, 2016 - about 9 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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