Individual
MOLLY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 WOODS RD S, WARREN, VT 05674-4503
(720) 810-2901
Mailing address
200 WOODS RD S, WARREN, VT 05674-4503
(720) 810-2901
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
164.0000828
VT
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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