Individual
MS. THERESA M. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
5 COLONY STREET, SUITES 301/303, MERIDEN, CT 06451-3272
(203) 235-7923
(203) 235-0013
Mailing address
92 VINE ST, NEW BRITAIN, CT 06052-1433
(860) 223-9291
(860) 223-3111
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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