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Carmen Elena Clark, IBCLC,RLC
Specialist in Teaneck, New Jersey
NPI 1154523652

Carmen Elena Clark is a Specialist based in Teaneck, NJ. Carmen Elena Clark practices in Teaneck, NJ and has the professional credentials of IBCLC,RLC. The NPI Number for Carmen Elena Clark is 1154523652 and holds a License No. (New Jersey).

The current practice location address for Carmen Elena Clark is 324 Edgewood Ave, Teaneck, NJ and can be reached out via phone at 201-837-7646 and via fax at 201-353-7936.

Location: 324 Edgewood Ave, Teaneck, NJ, 07666-3021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154523652
Provider Name
Carmen Elena Clark
Credential
IBCLC,RLC
Provider Entity Type
Individual
Gender
Female
Address
324 Edgewood Ave, Teaneck, NJ, 07666-3021
Phone Number
201-837-7646
Fax Number
201-353-7936
Provider Enumeration Date
06/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
105-21643 01 NJ IBCLC NUMBER
institution
Provider Business Practice Location Address Details
Address
324 Edgewood Ave
City
Teaneck
State
New Jersey
Zip
07666-3021
Phone Number
201-837-7646
Fax Number
201-353-7936
person
Provider Business Mailing Address Details
Address
324 Edgewood Ave
City
Teaneck
State
New Jersey
Zip
07666-3021
Phone Number
201-837-7646
Fax Number
201-353-7936
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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