DOMINIQUE JOLIE CLARK

UPPER MARLBORO, MD
NPI1265678502
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MD  05036)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: IL  146009176)
235Z00000X Speech-Language Pathologist,
(Licence: IN  22004686A)
Enumeration Date2008-12-16
Last Update Date2018-08-03
Business Address
DOMINIQUE JOLIE CLARK
12201 WALLACE LANDING CT
UPPER MARLBORO, MD 20772-7957
Phone number: 240-417-9810
Mailing Address
DOMINIQUE JOLIE CLARK
681 BEVILLE RD
SOUTH DAYTONA, FL 32119-1951
Phone number: 240-417-9810