Individual
DARREE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2600 W 9TH ST, CHESTER, PA 19013-2040
(610) 497-7282
Mailing address
3159 LAUGHEAD LN, MARCUS HOOK, PA 19061-2019
(610) 485-5097
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS006753L
PA
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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