Organization
CONSTANCE AVERY-CLARK, PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONSTANCE AVERY-CLARK PH.D. (OWNER)
(954) 849-7997
Entity
Organization
Contact information
Practice address
7100 W CAMINO REAL, SUITE 302, #7, BOCA RATON, FL 33433-5510
(954) 849-7997
Mailing address
7100 W CAMINO REAL, SUITE 302, #7, BOCA RATON, FL 33433-5510
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY3980
FL
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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