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1407174998
PETER A CLARK
WATERVILLE, ME
NPI
1407174998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC12415)
Enumeration Date
2010-05-10
Last Update Date
2010-05-10
Business Address
-- PETER A CLARK LCSW
10 WATER ST STE 306
WATERVILLE, ME 04901-6566
Phone number: 207-861-6200
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Mailing Address
-- PETER A CLARK LCSW
10 WATER ST STE 306
WATERVILLE, ME 04901
Phone number: 207-861-6200
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