KELLY CLARK

MILFORD, MA
NPI1598856759
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence:   1074)
Enumeration Date2006-09-27
Last Update Date2007-07-08
Business Address
-- KELLY CLARK MA CAGS
171 MAIN ST STE 401
MILFORD, MA 01757
Phone number: 508-473-4984
Mailing Address
-- KELLY CLARK MA CAGS
171 MAIN ST STE 401
MILFORD, MA 01757
Phone number: 508-473-4984