| Clark-doolittle Assoc Pc | |
|
71 Walker St Cambridge MA 02138-2414 | |
| (617) 547-7292 | |
| Not Available |
| Full Name | Clark-doolittle Assoc Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 71 Walker St, Cambridge, Massachusetts |
| Authorized Official Name and Position | Kim Clark (OWNER) |
| Authorized Official Contact | 6175477292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clark-doolittle Assoc Pc 71 Walker St Cambridge MA 02138-2414 Ph: (617) 547-7292 | Clark-doolittle Assoc Pc 71 Walker St Cambridge MA 02138-2414 Ph: (617) 547-7292 |
| NPI Number | 1164417424 |
|---|---|
| Provider Enumeration Date | 09/13/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164417424 | NPI | - | NPPES |
| OUN2222 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0890000559 (Vermont) | Secondary |
| 1041C0700X | Social Worker - Clinical | 101057 (Massachusetts) | Primary |
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