Individual
RACHEL ANN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
518 E 80TH ST APT 2G, NEW YORK, NY 10075-0765
(609) 508-6002
Mailing address
518 E 80TH ST APT 2G, NEW YORK, NY 10075-0765
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
118629
NY
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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