Individual
BROOKE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS IN ED. PSYCHOLOGY
Contact information
Practice address
7513 COURT STREET, ELIZABETHTOWN, NY 12932
(518) 873-3670
(518) 873-3777
Mailing address
7513 COURT STREET, ELIZABETHTOWN, NY 12932
(518) 873-3670
(518) 873-3777
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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