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1922859313
RENE THERESA CLARK
MATTAPAN, MA
NPI
1922859313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MA 187893081)
Enumeration Date
2024-04-01
Last Update Date
2024-04-01
Business Address
RENE THERESA CLARK
255 RIVER ST
MATTAPAN, MA 02126-2729
Phone number: 617-981-9244
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Mailing Address
RENE THERESA CLARK
75 N BEACON ST
WATERTOWN, MA 02472-2671
Phone number: 617-661-3991
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