Kevin Clark

NPI #1487913232 in Swansea, Massachusetts

Provider Information

NPI Number: 1487913232
Entity Type: Individual
Name: Kevin Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: May 15, 2012
Last Updated: May 15, 2012

Practice Location

Address: 463 SWANSEA MALL DR
City: Swansea
State: Massachusetts
ZIP Code: 02777-4119
Phone: (508) 324-1060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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