MRS. Genese Calloway Clark
NPI #1124668694 in New Haven, Connecticut
Provider Information
- NPI Number
- 1124668694
- Entity Type
- Individual
- Name
- MRS. Genese Calloway Clark
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jan 13, 2020
- Last Updated
- Jan 13, 2020
Practice Location
- Address
- 458 GRAND AVE STE 103
- City
- New Haven
- State
- Connecticut
- ZIP Code
- 06513-3873
- Phone
- (203) 850-4737
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Case Manager/Care Coordinator |
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