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Charlotte Clark
NPI 1578826491 · on the registry since 2012 · sole proprietor
Practice
- Address
- 8 Burke St Apt 151
South Boston, MA 02127 - Phone
- (617) 534-9500
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-09-26
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 Massachusetts