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1881715068
KELLY CLARK
NORTHAMPTON, MA
NPI
1881715068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2007-04-03
Last Update Date
2019-01-23
Business Address
KELLY CLARK LICSW
425 PROSPECT ST
NORTHAMPTON, MA 01060-2046
Phone number: 413-727-2640
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Mailing Address
KELLY CLARK LICSW
425 PROSPECT ST
NORTHAMPTON, MA 01060-2046
Phone number: 413-727-2640
Copy
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