Individual
CAROLINE AUDREY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 MAIN ST, EXETER, NH 03833-2460
(603) 772-4311
Mailing address
16 DENISE TER, BROCKTON, MA 02301-5865
(508) 942-5601
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/28/2023
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