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Paul E Clark, MSW

Social Worker in Norwich, CT. Individual provider (NPI-1).

NPI number1083051684
StatusActive
Last updated in NPPESDec 17, 2019

Details

NPI
1083051684
Entity type
Individual (NPI-1)
Name
Paul E Clark
Credential
MSW
Sex
Male
Sole proprietor
No
Enumeration date
May 23, 2013
Certification date
Dec 17, 2019
Last updated
Dec 17, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker––Yes

Practice location

47 Town St
Norwich, CT 06360-2315

Phone 860-892-7042

Mailing address

47 Town St
Norwich, CT 06360-2315

Phone 203-206-8434

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