Wallace Clark IV, THERAPEUTICMENTOR
Wallace Clark IV, THERAPEUTICMENTOR is a Social Worker in Haverhill, Massachusetts. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
6 Concordia DrHaverhill, MA 01830-2062
Phone: (978) 373-3086
Fax: (978) 469-0486
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|
Record details
| NPI number | 1942667944 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | THERAPEUTICMENTOR |
| Sole proprietor | No |
| NPI enumerated | January 21, 2016 |
| Last updated in NPPES | January 21, 2016 |
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