Individual
MISS VANESSA MARIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
251 FENN ST, PITTSFIELD, MA 01201-5269
(413) 499-0412
Mailing address
251 FENN ST, PITTSFIELD, MA 01201-5269
(413) 499-0412
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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