Individual
MRS. JENNIFER ANN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5903 NEPTUNE DR, FORT COLLINS, CO 80525-3905
(719) 661-1811
Mailing address
5903 NEPTUNE DR, FORT COLLINS, CO 80525-3905
(719) 661-1811
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12139274
CO
Other
Enumeration date
08/16/2010
Last updated
01/29/2013
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