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1184212896
CHARLES DAVID CLARK
WORCESTER, MA
NPI
1184212896
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-01-07
Last Update Date
2021-01-07
Business Address
CHARLES DAVID CLARK
345A GREENWOOD ST
WORCESTER, MA 01607-1753
Phone number: 508-363-0200
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Mailing Address
CHARLES DAVID CLARK
13 FURROW ST
WESTFIELD, MA 01085-1119
Phone number: 413-686-2356
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