Clark, Virginia C

Clark, Virginia C is an sole proprietor health care provider with primary practice located at 4326 Sw 142Nd Street Rd , Ocala FL 34473-5637. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Nursing Service Providers / Registered Nurse. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Clark, Virginia C can be contacted via phone (352) 233-7200.

Contact Information

Primary practice address
4326 Sw 142Nd Street Rd Ocala FL 34473-5637
Phone: (352) 233-7200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW4146 Florida
Nursing Service Providers / Registered Nurse 163W00000X RN1646792 Florida

Profile Details

NPI number 1073607552
LBN Legal business name Clark, Virginia C
Credentials PHD, LCSW, RN, CAP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Sep 28th, 2012 - about 12 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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