Individual
EMMALINE SHAE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
1210 KY-36, CYNTHIANA, KY 41031
(859) 234-2300
Mailing address
235 OLD MAYSVILLE RD, CARLISLE, KY 40311-9599
(859) 473-2162
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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