Individual
CHELSEA C CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
15 EAST RD UNIT 102, FAIRFAX, VT 05454-4450
(802) 363-3297
Mailing address
15 EAST RD UNIT 102, FAIRFAX, VT 05454-4450
(802) 363-3297
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
026.0086622
VT
Other
Enumeration date
11/22/2009
Last updated
12/12/2019
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