DALLAS LASHAWN CLARK

SPRINGFIELD, MA
NPI1861043077
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-09-28
Last Update Date2019-09-28
Business Address
DALLAS LASHAWN CLARK
20 WILBRAHAM AVE
SPRINGFIELD, MA 01109-3337
Phone number: 413-747-5384
Mailing Address
DALLAS LASHAWN CLARK
995 WORTHINGTON ST
SPRINGFIELD, MA 01109-4027
Phone number: 413-747-5384
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