Individual
MRS. ANGELA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
560 N EXPOSITION ST, WICHITA, KS 67203-5902
(316) 618-1252
Mailing address
560 N EXPOSITION ST, WICHITA, KS 67203-5902
(316) 618-1252
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3064
KS
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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