Wallace Clark THERAPEUTIC MENTOR
Social Worker in Haverhill, MA(View on Map)
Full Name
Wallace Clark THERAPEUTIC MENTOR
NPI Number
1942667944
NPI Type
Individual Provider
Gender
Male
Enumeration Date
01/21/2016
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
6 CONCORDIA DR
6 CONCORDIA DR
City
Haverhill
Haverhill
State
MA
MA
Postal Code
01830-2062
01830-2062
Country
US
US
Telephone Number
(978) 373-3086
(978) 373-3086
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/21/2016
Provider Address
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