Clark, Sue Ann
Clark, Sue Ann is an sole proprietor health care provider with primary practice located at 717 W Stephenson St , Freeport IL 61032-5007. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clark, Sue Ann can be contacted via phone (815) 235-7076.Contact Information
Primary practice address
717 W Stephenson St
Freeport IL 61032-5007
Phone: (815) 235-7076
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | Illinois |
Profile Details
| NPI number | 1972633253 |
|---|---|
| LBN Legal business name | Clark, Sue Ann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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