KELLI MARIE CLARK

MASSENA, NY
NPI1104196815
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NY  R054044-1)
Enumeration Date2012-01-11
Last Update Date2018-04-24
Business Address
KELLI MARIE CLARK
23 MAPLE ST
MASSENA, NY 13662-1017
Phone number: 315-769-8441
Mailing Address
KELLI MARIE CLARK
23 MAPLE ST
MASSENA, NY 13662-1017
Phone number: