Individual
PAUL E CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
47 TOWN ST, NORWICH, CT 06360-2315
(860) 892-7042
Mailing address
47 TOWN ST, NORWICH, CT 06360-2315
(203) 206-8434
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/23/2013
Last updated
12/17/2019
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