Individual
MS. JUDITH E CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 OXBOW DR, VERNON, CT 06066-4313
(860) 872-4099
Mailing address
14 OXBOW DR, VERNON, CT 06066-4313
(860) 872-4099
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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