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Chanelle Clark
NPI 1992407852 · on the registry since 2023
Practice
- Address
- 37 Kingswood Ln
Lynn, MA 01905 - Phone
- (781) 476-3013
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-03-21
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