Individual
ASHLEY NICOLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
67 EUSTIS PKWY, WATERVILLE, ME 04901-5173
(207) 873-2136
Mailing address
544 PRIEST HILL RD, VASSALBORO, ME 04989-3310
(207) 649-7802
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MC23853
ME
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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