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1306105903
KELLY THOMAS CLARK
MISSOURI CITY, TX
NPI
1306105903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 102206)
Enumeration Date
2012-05-16
Last Update Date
2013-06-18
Business Address
Mrs. KELLY THOMAS CLARK M.A., CCC-SLP
3406 FOWLER CT
MISSOURI CITY, TX 77459-6366
Phone number: 713-201-9902
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Mailing Address
Mrs. KELLY THOMAS CLARK M.A., CCC-SLP
3406 FOWLER CT
MISSOURI CITY, TX 77459-6366
Phone number: 713-201-9902
Copy
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