DANIELLE CLARK

BELLEVILLE, IL
NPI1639548167
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  242003637)
Enumeration Date2015-09-15
Last Update Date2015-09-15
Business Address
-- DANIELLE CLARK
2810 FRANK SCOTT PARKWAY WEST
BELLEVILLE, IL 62223-5007
Phone number: 618-234-9705
Mailing Address
-- DANIELLE CLARK
2810 FRANK SCOTT PARKWAY WEST
BELLEVILLE, IL 62223-5007
Phone number:
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