Individual
MR. TERRY P CLEARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
VA MEDICAL CENTER, HIGHWAY 71, ALEXANDRIA, LA 71306-9004
(318) 474-0010
(318) 483-5064
Mailing address
PO BOX 69004, VAMC 116B, ALEXANDRIA, LA 71306-9004
(318) 474-0010
(318) 483-5064
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1372
LA
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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