Kelly Clark

NPI #1871230565 in Calais, Maine

Provider Information

NPI Number
1871230565
Entity Type
Individual
Name
Kelly Clark
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
May 16, 2022
Last Updated
May 16, 2022

Practice Location

Address
127 PALMER ST
City
Calais
State
Maine
ZIP Code
04619-1300
Phone
(207) 454-0775

Specialties & Taxonomy Codes

Specialty
Counselor

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