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1821367178
JODY R CLARK
PHOENIX, AZ
NPI
1821367178
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: AZ SLPA7559)
Enumeration Date
2011-12-15
Last Update Date
2011-12-15
Business Address
-- JODY R CLARK
20402 N 15TH AVE
PHOENIX, AZ 85027-3636
Phone number: 623-445-5952
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Mailing Address
-- JODY R CLARK
20402 N 15TH AVE
PHOENIX, AZ 85027-3636
Phone number: 623-445-5952
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