Clark, Ronald Austin

Clark, Ronald Austin is an individual health care provider with primary practice located at 215 Loudoun St Se , Leesburg VA 20175-3115. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Clark, Ronald Austin can be contacted via phone (703) 771-7555.

Contact Information

Primary practice address
215 Loudoun St Se Leesburg VA 20175-3115
Fax: (703) 771-7556

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904000736 Virginia

Profile Details

NPI number 1508908427
LBN Legal business name Clark, Ronald Austin
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Jul 9th, 2007 - about 14 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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