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Individual

VICTORIA E CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
2040 S ALMA SCHOOL RD STE 1, CHANDLER, AZ 85286-7076
(602) 323-0894
Mailing address
3314 S PINE ST, TEMPE, AZ 85282-5757

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP8175
AZ

Other

Enumeration date
02/21/2013
Last updated
02/21/2013
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