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1912407909
KELLY CLARK
PEARLAND, TX
NPI
1912407909
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2018-02-15
Last Update Date
2018-02-15
Business Address
KELLY CLARK
2011 BROADWAY ST STE 130
PEARLAND, TX 77581-5945
Phone number: 281-997-8509
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Mailing Address
KELLY CLARK
8515 BRODIE LN APT 1736
AUSTIN, TX 78745-8138
Phone number: 713-306-9736
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