Individual
GERALYN M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4471 SHEFFIELD PL, BAY CITY, MI 48706-2564
(989) 684-6800
Mailing address
PO BOX 70, SHEPHERD, MI 48883-0070
(989) 506-4435
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101001003
MI
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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