Richard William Clark
NPI #1124889803 in Keene, New Hampshire
Provider Information
- NPI Number
- 1124889803
- Entity Type
- Individual
- Name
- Richard William Clark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jan 19, 2024
- Last Updated
- Apr 11, 2024
Practice Location
- Address
- 40 AVON ST
- City
- Keene
- State
- New Hampshire
- ZIP Code
- 03431-3516
- Phone
- (603) 357-4400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
| Case Manager/Care Coordinator |
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