Provider Demographics
NPI:1497534325
Name:CLARK, HANNAH RUTH
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:RUTH
Last Name:CLARK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:273 HIGH RD
Mailing Address - Street 2:
Mailing Address - City:NEWBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01951-2218
Mailing Address - Country:US
Mailing Address - Phone:617-230-4353
Mailing Address - Fax:
Practice Address - Street 1:110 HAVERHILL RD STE 206
Practice Address - Street 2:
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-2157
Practice Address - Country:US
Practice Address - Phone:978-834-6583
Practice Address - Fax:978-462-0735
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker