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1447574389
BRANDI J CLARK
ELIZABETHTOWN, KY
NPI
1447574389
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: KY 2717)
Enumeration Date
2010-03-22
Last Update Date
2010-03-22
Business Address
-- BRANDI J CLARK
1101 WOODLAND DR
ELIZABETHTOWN, KY 42701-2749
Phone number: 270-765-6106
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Mailing Address
-- BRANDI J CLARK
1101 WOODLAND DR
ELIZABETHTOWN, KY 42701-2749
Phone number: 270-765-6106
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