Individual
CAROL JONES CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
550 ROSELAWN AVE E, MAPLEWOOD, MN 55117-2120
(651) 793-3338
Mailing address
550 ROSELAWN AVE, MAPLEWOOD, MN 55117
(651) 793-3338
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8556
MN
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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