Individual
C.VANESSA CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
48 HOWE ST, NEW HAVEN, CT 06511-4620
(203) 624-2525
(203) 397-0977
Mailing address
48 HOWE ST, NEW HAVEN, CT 06511-4620
(203) 624-2525
(203) 397-9077
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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