Lillie Mae Clarke
Lillie Mae Clarke is a Community Health Worker in Los Angeles, California. Licensed in California. Registered with an NPI since 2022.
- Licensed in
- CA
- In the registry since
- 2022
- Specialties on file
- 3
Practice location Address checks out
5603 S Central AveLos Angeles, CA 90011-5967
Phone: (323) 432-3700
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence CI34780122 (CA) |
|---|---|
| Community Health Worker | Taxonomy 172V00000X |
| Rehabilitation Practitioner | Taxonomy 225400000X · Licence CI34780122 (CA) |
Record details
| NPI number | 1598400848 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 2, 2022 |
| Last updated in NPPES | July 25, 2023 |
| Certification date | July 14, 2023 |
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