Individual
JADE KIANA PEARL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
5051 ANDERSON PL, CINCINNATI, OH 45227-1601
(513) 363-2979
Mailing address
6847 STEWART RD APT 425, CINCINNATI, OH 45236-0718
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.13998
OH
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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