Individual
MRS. ANN CECELIA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
111 MCKINLEY AVE, KENMORE, NY 14217-2462
(717) 877-6143
Mailing address
111 MCKINLEY AVE, KENMORE, NY 14217-2462
(717) 877-6143
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
012057
NY
Other
Enumeration date
03/26/2009
Last updated
03/26/2009
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