Vidal Clark
Vidal Clark is a Counselor in Jamaica Plain, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
555 Amory St Ste 3Jamaica Plain, MA 02130-2652
Phone: (617) 522-0900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1154727048 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 5, 2014 |
| Last updated in NPPES | November 5, 2014 |
| Mailing address | 555 Amory St, Suite 3, Jamaica Plain, MA 02130-2652 |
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