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Individual

MRS. AMY CHRISTINE CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
40 BOBALA RD, HOLYOKE, MA 01040-9632
(413) 536-5473
(413) 536-2760
Mailing address
142 LOCKHOUSE RD, WESTFIELD, MA 01085-1234

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7272
MA
101YP2500X
Professional Counselor
7272
MA
104100000X
Social Worker

Other

Enumeration date
12/19/2006
Last updated
07/30/2010
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