Individual
MISS MEGAN ELIZABETH CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
338 PLANTATION ST, WORCESTER, MA 01604-1637
(508) 770-0089
Mailing address
338 PLANTATION ST, WORCESTER, MA 01604-1637
(508) 770-0089
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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