BRAD CLARK
Social Worker - Clinical
Active
Individual
NPI: 1811677172
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | MC22300 (ME) |
Frequently Asked Questions
NPI 1811677172 is the National Provider Identifier for BRAD CLARK, a Social Worker - Clinical provider located in Portland, ME. This NPI was enumerated on July 21, 2023.
BRAD CLARK practices at 216 VAUGHAN ST, Portland, ME 04102.
Quick Facts
- NPI
- 1811677172
- Type
- Individual
- Enumerated
- Jul 21, 2023
- Last Updated
- Jul 21, 2023
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