Individual
VALARIE GOLDEN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2829 4TH AVE STE 150, LAKE CHARLES, LA 70601-7897
(337) 480-7800
(337) 474-4552
Mailing address
2829 4TH AVE STE 150, LAKE CHARLES, LA 70601-7897
(337) 480-7805
(337) 474-4552
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
207541
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2535307
—
LA
Enumeration date
07/30/2019
Last updated
09/26/2022
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