Individual
MRS. JOANNA J CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
7960 W OSBORN RD, PHOENIX, AZ 85033-3521
(623) 691-4700
Mailing address
13119 W ROVEY CT, LITCHFIELD PARK, AZ 85340-7320
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1603
AZ
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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