Individual
CLARISSA ANN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4450 48TH AVENUE CT, ROCK ISLAND, IL 61201-9213
(309) 558-0145
Mailing address
1317 ESPLANADE AVE, DAVENPORT, IA 52803-4155
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
100896
IA
235Z00000X
Speech-Language Pathologist
Primary
146.016401
IL
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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