Individual
ANDREA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27240 HAGGERTY RD, SUITE E15, FARMINGTON HILLS, MI 48331-5716
(866) 991-0900
Mailing address
3741 LOCUST DR, OAKLAND, MI 48363-2841
(866) 991-0900
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000209
MI
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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