Individual
SARAH H CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1155 LISBON ST, LEWISTON, ME 04240-5025
(207) 783-9141
Mailing address
1155 LISBON ST, LEWISTON, ME 04240-5025
(207) 783-9141
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RO40233
ME
Other
Enumeration date
12/26/2008
Last updated
12/26/2008
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