Individual
MRS. JULIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
6276 PLATTSBURG RD, SOUTH CHARLESTON, OH 45368-8801
(937) 717-6741
(937) 284-8186
Mailing address
6276 PLATTSBURG ROAD, SOUTH CHARLESTON, OH 45368-8801
(937) 717-6741
(937) 284-8186
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.7899
OH
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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