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Individual

MRS. HEATHER N CLARKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA(ECON), MSC, MSPED

Contact information

Practice address
3047 HOBART ST, APT 3J, WOODSIDE, NY 11377-1463
(347) 684-7067
Mailing address
3047 HOBART ST, APT 3J, WOODSIDE, NY 11377-1463
(347) 684-7067

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
399317
NY

Other

Enumeration date
07/23/2013
Last updated
07/23/2013
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