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Deserie Clack-Wilson
NPI 1447869029 · on the registry since 2020
Practice
- Address
- 1000 Lafayette Blvd Ste 1128
Bridgeport, CT 06604 - Phone
- (203) 683-3428
- Fax
- (203) 683-5901
- Organisation at this address
- Kahak Ct Inc
W.A.D.E Care
Ct Aba Services
Beckncall Homecare
Oikos Home Care LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 36
Registry record
- Primary taxonomy
- Community Health Worker
172V00000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-07-29
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 Connecticut