TROY WILLIAM CLARK

PORTLAND, ME
NPI1699884619
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: ME  LC1376)
Enumeration Date2006-08-30
Last Update Date2009-01-07
Business Address
TROY WILLIAM CLARK LCSW
216 VAUGHAN ST
PORTLAND, ME 04102-3204
Phone number: 207-662-2221
Mailing Address
TROY WILLIAM CLARK LCSW
216 VAUGHAN ST
PORTLAND, ME 04102-3204
Phone number: 207-662-2221
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