Individual
MRS. BRENNA CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
11717 S 216TH ST, GRETNA, NE 68028-4729
(402) 332-3265
Mailing address
11717 S 216TH ST, GRETNA, NE 68028-4729
(402) 332-3265
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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