Brad Clark
Brad Clark is a Clinical Social Worker in Portland, Maine. Licensed in Maine. Registered with an NPI since 2023.
- Licensed in
- ME
- In the registry since
- 2023
Practice location Address checks out
216 Vaughan StPortland, ME 04102-3204
Phone: (207) 662-2469
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence MC22300 (ME) |
|---|
Record details
| NPI number | 1811677172 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 21, 2023 |
| Last updated in NPPES | July 21, 2023 |
| Certification date | July 21, 2023 |
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