MS. Chanelle Nicole Clark
NPI #1992407852 in Lynn, Massachusetts
Provider Information
- NPI Number
- 1992407852
- Entity Type
- Individual
- Name
- MS. Chanelle Nicole Clark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Mar 21, 2023
- Last Updated
- Mar 21, 2023
Practice Location
- Address
- 37 KINGSWOOD LN
- City
- Lynn
- State
- Massachusetts
- ZIP Code
- 01905-3118
- Phone
- (781) 476-3013
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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