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Individual

ALYSSA CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
2472 ASHMUN ST, SAULT SAINTE MARIE, MI 49783-3768
(906) 635-4426
Mailing address
2472 ASHMUN ST, SAULT SAINTE MARIE, MI 49783-3768

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101006550
MI

Other

Enumeration date
12/07/2022
Last updated
12/07/2022
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