Individual
JENNIFER CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 GARDEN CITY PLZ, GARDEN CITY, NY 11530-3302
(516) 747-9030
Mailing address
2145 WANTAGH PARK DR, WANTAGH, NY 11793-4100
(516) 351-0822
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
120667
NY
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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