Individual
MISS MEGAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1160 KEPLER DR, GREEN BAY, WI 54311-8321
(920) 288-5488
(920) 288-4707
Mailing address
829 RANDOLPH ST, MISHICOT, WI 54228-9464
(715) 432-4425
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
5275-154
WI
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/21/2021
Last updated
03/19/2024
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