Individual
MS. NOEL ANNE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
4517 N LARKIN ST, SHOREWOOD, WI 53211-1543
(414) 393-8835
Mailing address
4517 N LARKIN ST, SHOREWOOD, WI 53211-1543
(414) 393-8835
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146 008259
IL
235Z00000X
Speech-Language Pathologist
Primary
3076 154
WI
Other
Enumeration date
09/13/2007
Last updated
09/20/2012
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