Peter A Clark, LCSW

NPI #1407174998 in Waterville, Maine

Provider Information

NPI Number
1407174998
Entity Type
Individual
Name
Peter A Clark, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
May 10, 2010
Last Updated
May 10, 2010

Practice Location

Address
10 WATER ST STE 306
State
Maine
ZIP Code
04901-6566
Phone
(207) 861-6200

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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