Clark, Alicia

Clark, Alicia is an individual health care provider with primary practice located at 339 W Loucks St , Sheridan WY 82801-4121. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clark, Alicia can be contacted via phone (307) 674-4462.

Contact Information

Primary practice address
339 W Loucks St Sheridan WY 82801-4121
Phone: (307) 674-4462
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 438 Wyoming

Profile Details

NPI number 1134216690
LBN Legal business name Clark, Alicia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Jul 8th, 2007 - about 19 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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