Organization
NICOLA CLARKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS NICOLA CLARKE (RN)
(203) 568-0529
Entity
Organization
Contact information
Practice address
27 AMBER PL, WATERBURY, CT 06705-1240
(203) 568-0529
Mailing address
27 AMBER PLACE, WATERBURY, CT 06705
(203) 568-0529
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
078870
CT
Other
Enumeration date
02/07/2007
Last updated
08/22/2020
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