Individual
KARA ELAINE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 MASSILLON RD, NORTH CANTON, OH 44720
(330) 896-9119
Mailing address
PO BOX 667, GREEN, OH 44232-0667
(330) 896-9119
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND 2016-265
OH
Other
Enumeration date
05/31/2016
Last updated
09/06/2018
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