Individual
CHRISTINA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
524 MACRANDER DR, BEREA, KY 40403-8311
(859) 626-2107
Mailing address
524 MACRANDER DR, BEREA, KY 40403-8311
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/25/2019
Last updated
01/05/2021
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