Individual
ELLEN MARIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
450 W IL ROUTE 22, BARRINGTON, IL 60010-7509
(847) 842-4257
Mailing address
11612 MAPLE AVE, HEBRON, IL 60034-9668
(815) 648-2859
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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