Individual
MS. ROSEANNE ELIZABETH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
9 HOPE AVE, WALTHAM, MA 02453-2741
(781) 216-3656
Mailing address
9 HOPE AVE, WALTHAM, MA 02453-2741
(781) 216-3656
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8892
MA
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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