DOUGLAS JAMES CLARK

BROCKTON, MA
NPI1427135185
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  106610)
Enumeration Date2006-11-01
Last Update Date2007-07-08
Business Address
Mr. DOUGLAS JAMES CLARK licsw
BROCKTON VA MEDICAL CENTER 940 BELMONT ST.
BROCKTON, MA 02301
Phone number: 774-826-2340
Mailing Address
Mr. DOUGLAS JAMES CLARK licsw
1 MEETING HOUSE CIR
EAST SANDWICH, MA 02537-1513
Phone number: 508-888-7369
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