Individual
SEAN CLARK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
HS1
Contact information
Practice address
15 MOHEGAN AVE, USCG ACADEMY - MICHEL HALL, NEW LONDON, CT 06320-8100
(860) 701-6904
(860) 444-8413
Mailing address
15 MOHEGAN AVE, USCG ACADEMY - MICHEL HALL, NEW LONDON, CT 06320-8100
(860) 701-6904
(860) 444-8413
Taxonomy
Speciality
Code
Description
License number
State
247000000X
Health Information Technician
Primary
—
—
Other
Enumeration date
02/24/2006
Last updated
07/08/2007
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