Nellda Clark IV, BSW
NPI #1659046076 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1659046076
- Entity Type
- Individual
- Name
- Nellda Clark IV, BSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Analyst
- Credential
- BSW
- Enumeration Date
- Aug 9, 2021
- Last Updated
- Sep 1, 2021
Practice Location
- Address
- 29 E MOUNTAIN ST
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01606-1400
- Phone
- (508) 755-0556
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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