Emily Rae Clark

NPI #1801549258 in South Ozone Park, New York

Provider Information

NPI Number: 1801549258
Entity Type: Individual
Name: Emily Rae Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jan 26, 2022
Last Updated: Jan 26, 2022

Practice Location

Address: 10819 ROCKAWAY BLVD
City: South Ozone Park
State: New York
ZIP Code: 11420-1034
Phone: (718) 845-2620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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