Destiny Clark

NPI #1073363297 in Springfield, Massachusetts

Provider Information

NPI Number: 1073363297
Entity Type: Individual
Name: Destiny Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Mar 22, 2024
Last Updated: Mar 22, 2024

Practice Location

Address: 85 SAINT GEORGE RD
City: Springfield
State: Massachusetts
ZIP Code: 01104-3333
Phone: (413) 732-2120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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