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1376025130
AUDREY CLARK
AUSTIN, TX
NPI
1376025130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 113061)
Enumeration Date
2018-08-29
Last Update Date
2018-08-29
Business Address
AUDREY CLARK
4501 DUDMAR DR
AUSTIN, TX 78735-6913
Phone number: 512-892-1131
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Mailing Address
AUDREY CLARK
7001 BLESSING AVE APT B
AUSTIN, TX 78752-3336
Phone number:
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