Individual
DEBORAH A CLARK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN, CS, NP
Contact information
Practice address
3 ESSEX GREEN DR, PEABODY, MA 01960-2913
(781) 307-6094
(781) 334-4196
Mailing address
21 BISHOPS LN, LYNNFIELD, MA 01940-1340
(781) 334-3173
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
153934
MA
Other
Enumeration date
12/02/2005
Last updated
07/08/2007
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