Individual
MS. EMMA COLLEEN CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
463155 FL-200 UNIT 12, YULEE, FL 32097
(904) 849-1625
Mailing address
463155 FL-200, UNIT 12, YULEE, FL 32097
(904) 849-1625
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ12687
FL
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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