Clark, Steven W.

Clark, Steven W. is an individual health care provider with primary practice located at 3300 Bass Lake Road Suite 314, Brooklyn Center MN 55429. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Clark, Steven W. can be contacted via phone (763) 913-0130.

Contact Information

Primary practice address
3300 Bass Lake Road Suite 314 Brooklyn Center MN 55429
Phone: (763) 913-0130
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1962786160
LBN Legal business name Clark, Steven W.
Credentials CAMF, COAMF, CDVF
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2011
Last updated Oct 6th, 2011 - about 15 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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