BRAD CLARK

PORTLAND, ME
NPI1811677172
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ME  MC22300)
Enumeration Date2023-07-21
Last Update Date2023-07-21
Business Address
BRAD CLARK
216 VAUGHAN ST
PORTLAND, ME 04102-3204
Phone number: 207-662-2469
Mailing Address
BRAD CLARK
216 VAUGHAN ST
PORTLAND, ME 04102-3204
Phone number: 207-662-2469
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