Individual
CHRISTINE M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED. CCC SLP
Contact information
Practice address
12701 W SUNRISE BLVD, SUNRISE, FL 33323-0907
(954) 792-8772
Mailing address
917 SE 16TH PL, DEERFIELD BEACH, FL 33441-7432
(954) 725-8816
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 8726
FL
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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