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1619121357
KELLY J CLARK
ROCHESTER, NY
NPI
1619121357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 015027)
Enumeration Date
2008-11-07
Last Update Date
2008-11-07
Business Address
Miss KELLY J CLARK M.S. CCC-SLP
2100 BRIGHTON HENRIETTA TOWN LINE RD
ROCHESTER, NY 14623-2785
Phone number: 585-697-5692
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Mailing Address
Miss KELLY J CLARK M.S. CCC-SLP
1 ADLER DR
EAST SYRACUSE, NY 13057-1223
Phone number: 315-701-7900
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