Individual
ANGELA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FEDERAL ST, GREENFIELD, MA 01301-2546
(413) 588-4618
Mailing address
165 SOUTH ST APT 2, NORTHAMPTON, MA 01060-4019
(413) 388-0511
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1300881
—
MA
Enumeration date
09/13/2013
Last updated
09/02/2014
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