Individual
KELLY ANN CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
75 WEST ST, DANBURY, CT 06810-6528
(203) 748-5689
Mailing address
74 WEST ST, DANBURY, CT 06810-6531
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4977
CT
Other
Enumeration date
07/02/2020
Last updated
11/27/2023
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