NPI 1447869029

Deserie Aline Clack-Wilson

Practitioner Community Health Worker Bridgeport, CT

Practice location

Address: 1000 Lafayette Blvd STE 1128, Bridgeport, CT 06604-4725
Phone: (203) 683-3428
Fax: (203) 683-5901

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Connecticut →

Registry record

NPI: 1447869029
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jul 2020
Record last updated: 29 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.