Clark, Marlene F

Clark, Marlene F is an individual health care provider with primary practice located at 805 E Mountain View St , Barstow CA 92311-3033. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clark, Marlene F can be contacted via phone (760) 256-5026.

Contact Information

Primary practice address
805 E Mountain View St Barstow CA 92311-3033
Phone: (760) 256-5026
Fax: (760) 256-5092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS22507 California

Profile Details

NPI number 1609917400
LBN Legal business name Clark, Marlene F
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Aug 15th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609917400 NPPES
California Other LCS22507 LICENSED CLINICAL SW

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