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Individual

CLARENCE WEST JR.

Active
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Individual

CLARENCE WEST JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
253Z00000X
In Home Supportive Care Agency
Primary
LA
374U00000X
Home Health Aide
Primary
LA

Other

Enumeration date
06/16/2023
Last updated
05/18/2026
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