Individual
SAMARA DIAHANN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 MOTT AVE STE 102-103, NORWALK, CT 06850-3330
(203) 913-6255
Mailing address
9 MOTT AVE STE 102-103, NORWALK, CT 06850-3330
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8474
CT
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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