Clark, Elaine Rutherford
Clark, Elaine Rutherford is an sole proprietor health care provider with primary practice located at 501 Village Green Pkwy Ste 4 , Bradenton FL 34209-3401. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clark, Elaine Rutherford can be contacted via phone (941) 795-7025.Contact Information
Primary practice address
501 Village Green Pkwy Ste 4
Bradenton FL 34209-3401
Phone: (941) 795-7025
Fax: (941) 795-1480
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW0003279 | Florida |
Profile Details
| NPI number | 1821142480 |
|---|---|
| LBN Legal business name | Clark, Elaine Rutherford |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2007 |
| 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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