Individual
JONNA L CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 BECKFORD ST APT 1, BEVERLY, MA 01915-3136
(603) 581-6209
Mailing address
19 BECKFORD ST APT 1, BEVERLY, MA 01915-3136
(603) 581-6209
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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