Individual
TERRI PATRICE CLARK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CNM, PHD
Contact information
Practice address
100 CHURCH ST S, NEW HAVEN, CT 06519-1703
(203) 737-2546
(203) 785-6455
Mailing address
141 CANNON ST, HAMDEN, CT 06518-2512
(203) 287-9055
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
000058
CT
Other
Enumeration date
08/16/2005
Last updated
07/08/2007
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