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1588020051
CORY CLARK
WAKEFIELD, RI
NPI
1588020051
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: RI ps01098)
Enumeration Date
2016-01-13
Last Update Date
2016-01-13
Business Address
Dr. CORY CLARK Ph.D.
213 ROBINSON ST
WAKEFIELD, RI 02879-3656
Phone number: 401-680-9157
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Mailing Address
Dr. CORY CLARK Ph.D.
213 ROBINSON ST
WAKEFIELD, RI 02879-3656
Phone number: 401-680-9157
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