Individual
EMILY JOSEPHINE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 HILLSIDE DR, MILLERSBURG, OH 44654-1464
(440) 225-5180
Mailing address
24 HILLSIDE DR, MILLERSBURG, OH 44654-1464
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND.20211616-SP
OH
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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