Individual provider · Type 1 NPI

Mary Marshall Clark, MASTER'S OF DIVINITY

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1447918008 Active

Practice location

71 W 23rd St Ste 1400
New York, NY 10010-4101

Call (212) 582-1566 Map

Fax (212) 582-1566

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1447918008

Mary Marshall Clark, MASTER'S OF DIVINITY's National Provider Identifier is 1447918008, issued on Dec 1, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Dec 1, 2021.