White, Clarice Marie

White, Clarice Marie is an individual health care provider with primary practice located at 4635 Nicols Rd # 104 , Eagan MN 55122-3337. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. White, Clarice Marie can be contacted via phone (612) 289-6480.

Contact Information

Primary practice address
4635 Nicols Rd # 104 Eagan MN 55122-3337
Phone: (612) 289-6480
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1255924692
LBN Legal business name White, Clarice Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2021
Last updated Feb 17th, 2021 - about 5 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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