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1154460368
CHRISTINE M CLARK
SUNRISE, FL
NPI
1154460368
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA 8726)
Enumeration Date
2007-02-05
Last Update Date
2007-07-08
Business Address
-- CHRISTINE M CLARK MEd. CCC SLP
12701 W SUNRISE BLVD
SUNRISE, FL 33323-0907
Phone number: 954-792-8772
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Mailing Address
-- CHRISTINE M CLARK MEd. CCC SLP
917 SE 16TH PL
DEERFIELD BEACH, FL 33441-7432
Phone number: 954-725-8816
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