Individual
MRS. BOBBIE JEAN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC/SLP
Contact information
Practice address
811 PARK ST, THERMOPOLIS, WY 82443-2239
(307) 921-1535
Mailing address
811 PARK ST, THERMOPOLIS, WY 82443-2239
(307) 921-1535
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-465
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
315047
BCBS
WY
Enumeration date
06/21/2007
Last updated
05/07/2012
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