Individual
LEAH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 PENFRO DR, IOWA CITY, IA 52246-4927
(641) 512-5950
Mailing address
31 PENFRO DR, IOWA CITY, IA 52246-4927
(641) 512-5950
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002227
IA
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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