Individual
MS. JULIE KAYE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBLCE
Contact information
Practice address
1301 MOTTER AVENUE, FREDERICK, MD 21701
(301) 246-2556
Mailing address
4001 BUCKEYSTOWN PIKE, P. O. BOX, BUCKEYSTOWN, MD 21717
(301) 246-2556
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11216325
MD
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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