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Search › Virginia › 101YM0800X

Theresa Clark

NPI 1326825449 · on the registry since 2023 · sole proprietor

Practice

Address
5248 Olde Towne Rd
Williamsburg, VA 23188
Phone
(757) 603-4603
Organisation at this address
Abundant Path Llc
Abundant Life Partners, Llc
Direct Support Professionals, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-09-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia