Individual provider · Type 1 NPI

Martha Mary Clark

Mental Health Counselor · Worcester, MA

NPI number 1306359104 Active

Practice location

335 Chandler St
Worcester, MA 01602-3441

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1306359104

Martha Mary Clark's National Provider Identifier is 1306359104, issued on Nov 15, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Worcester, MA. The record was last updated on Nov 15, 2017.