Individual
HEIDI S CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1000 E UNIVERSITY AVE DEPT 3311, LARAMIE, WY 82071-2001
(307) 766-6426
Mailing address
1000 E UNIVERSITY AVE DEPT 3311, LARAMIE, WY 82071-2001
(307) 766-6426
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/18/2012
Last updated
10/27/2020
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