Individual
ALLISON CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN, CNSC
Contact information
Practice address
140 HIGH ST, SPRINGFIELD, MA 01105-1442
(413) 794-0000
Mailing address
759 CHESTNUT ST, SPRINGFIELD, MA 01199-1001
(413) 977-1194
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3286
MA
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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