Clark, Annette M

Clark, Annette M is an individual health care provider with primary practice located at 2900 E 29Th St , Bryan TX 77802-2622. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clark, Annette M can be contacted via phone (979) 776-8400.

Contact Information

Primary practice address
2900 E 29Th St Bryan TX 77802-2622
Phone: (979) 776-8400
Fax: (877) 601-5854
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 11843 Minnesota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 112234 Texas

Profile Details

NPI number 1366828477
LBN Legal business name Clark, Annette M
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2015
Last updated May 6th, 2024 - about 2 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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