Deserie Aline Clack-Wilson
NPI #1447869029 in Bridgeport, Connecticut
Provider Information
- NPI Number
- 1447869029
- Entity Type
- Individual
- Name
- Deserie Aline Clack-Wilson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Jul 29, 2020
- Last Updated
- Jul 29, 2020
Practice Location
- Address
- 1000 LAFAYETTE BLVD STE 1128
- City
- Bridgeport
- State
- Connecticut
- ZIP Code
- 06604-4725
- Phone
- (203) 683-3428
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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