Individual
MR. DAVID CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW, MPH
Contact information
Practice address
780 ALBANY ST, BOSTON, MA 02118-2755
(578) 654-1000
Mailing address
780 ALBANY ST, BOSTON, MA 02118-2755
(578) 654-1000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
114456
MA
Other
Enumeration date
11/30/2006
Last updated
11/10/2018
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