Individual
MS. KATHERINE LEE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
(515) 727-8750
(515) 727-8557
Mailing address
2015 48TH ST, DES MOINES, IA 50310-1955
(641) 777-1475
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1867
IA
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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