Joshua Michael Clark

NPI #1578153839 in Freeville, New York

Provider Information

NPI Number: 1578153839
Entity Type: Individual
Name: Joshua Michael Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jan 21, 2021
Last Updated: Jan 21, 2021

Practice Location

Address: 380 FREEVILLE RD
City: Freeville
State: New York
ZIP Code: 13068-9684
Phone: (607) 844-6275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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