Clark, Gayle K

Clark, Gayle K is an individual health care provider with primary practice located at 2511 Oleander Dr , Durham NC 27703-8188. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Clark, Gayle K can be contacted via phone (919) 381-5296.

Contact Information

Primary practice address
2511 Oleander Dr Durham NC 27703-8188
Phone: (919) 381-5296
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X SW124768 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 1041C0700X C005860 North Carolina

Profile Details

NPI number 1023173101
LBN Legal business name Clark, Gayle K
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Feb 26th, 2009 - about 17 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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