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1043283724
TERRELL A CLARK
WALTHAM, MA
NPI
1043283724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: MA 2856)
Enumeration Date
2006-02-11
Last Update Date
2007-07-08
Business Address
-- TERRELL A CLARK PhD
9 HOPE AVE
WALTHAM, MA 02453-2741
Phone number: 781-216-2200
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Mailing Address
-- TERRELL A CLARK PhD
34 MEADOW RD
BOLTON, MA 01740-1120
Phone number: 978-779-6133
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