Individual
MR. CLARENCE T DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
1234 HYDE PARK AVE, SUITE 205, HYDE PARK, MA 02136-2819
(617) 413-6618
(617) 333-8229
Mailing address
PO BOX 369, PLAISTOW, NH 03865-0369
(617) 661-5515
(617) 661-5182
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
274554
MA
Other
Enumeration date
12/05/2012
Last updated
11/12/2020
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