Individual
HANNAH CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1493 CAMBRIDGE ST RM 239, CAMBRIDGE, MA 02139-1099
(617) 575-5399
Mailing address
117 ARGYLE ST APT 3, ROCHESTER, NY 14607-2349
(315) 529-8983
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/11/2024
Last updated
04/23/2024
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