Mrs. Genese Calloway Clark
Mrs. Genese Calloway Clark is a Counselor in New Haven, Connecticut. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
458 Grand Ave Ste 103New Haven, CT 06513-3873
Phone: (203) 850-4737
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Counselor | Taxonomy 101Y00000X |
Record details
| NPI number | 1124668694 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 13, 2020 |
| Last updated in NPPES | January 13, 2020 |
| Certification date | January 13, 2020 |
| Mailing address | 458 Grand Ave Ste 103, New Haven, CT 06513-3873 |
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