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1124668694
GENESE CALLOWAY CLARK
NEW HAVEN, CT
NPI
1124668694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2020-01-13
Last Update Date
2020-01-13
Business Address
Mrs. GENESE CALLOWAY CLARK
458 GRAND AVE STE 103
NEW HAVEN, CT 06513-3873
Phone number: 203-850-4737
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Mailing Address
Mrs. GENESE CALLOWAY CLARK
458 GRAND AVE STE 103
NEW HAVEN, CT 06513-3873
Phone number:
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