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1215656236
MICHAELA BREANNE CLARK
KILLEEN, TX
NPI
1215656236
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 119441)
Enumeration Date
2022-08-23
Last Update Date
2022-08-23
Business Address
MICHAELA BREANNE CLARK
400 W STAN SCHLUETER LOOP
KILLEEN, TX 76542-3839
Phone number: 254-336-2150
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Mailing Address
MICHAELA BREANNE CLARK
2700 TRIMMIER RD APT 18107
KILLEEN, TX 76542-6054
Phone number: 903-235-6639
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