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1962730531
CARRIE CECILIA CLARK
COLUMBIA, MO
NPI
1962730531
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MO 2009002722)
Enumeration Date
2009-11-19
Last Update Date
2012-12-12
Business Address
-- CARRIE CECILIA CLARK CCC-SLP
5014 W MILLBROOK DR
COLUMBIA, MO 65203-5329
Phone number: 573-489-7659
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Mailing Address
-- CARRIE CECILIA CLARK CCC-SLP
5014 W MILLBROOK DR
COLUMBIA, MO 65203-5329
Phone number: 573-489-7659
Copy
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