CLARE BURGESS MORK

RACINE, WI
NPI1922252261
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WI  1961-154)
Enumeration Date2008-11-13
Last Update Date2008-11-13
Business Address
-- CLARE BURGESS MORK CCC-SLP
4310 HIDEAWAY HOLW
RACINE, WI 53403-4413
Phone number: 262-554-1894
Mailing Address
-- CLARE BURGESS MORK CCC-SLP
4310 HIDEAWAY HOLW
RACINE, WI 53403-4413
Phone number: 262-554-1894
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