Individual
MARY BETH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 LA SALLE AVE, SIOUX CITY, IA 51104-2412
(712) 574-2220
Mailing address
18 LA SALLE AVE, SIOUX CITY, IA 51104-2412
(712) 574-2220
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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