STEPHEN CLARK

CHINO, CA
NPI1902552714
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  23404)
Enumeration Date2022-03-01
Last Update Date2022-03-01
Business Address
STEPHEN CLARK SLP
4199 BERNARDO CT
CHINO, CA 91710-4902
Phone number: 909-497-4882
Mailing Address
STEPHEN CLARK SLP
4199 BERNARDO CT
CHINO, CA 91710-4902
Phone number: 909-497-4882