Individual
BONNIE MARIE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDP
Contact information
Practice address
101 BACON ST, PAWTUCKET, RI 02860-5542
(401) 606-4835
Mailing address
249 WARRINGTON ST, PROVIDENCE, RI 02907-2642
(401) 347-3300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP01053
RI
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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