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Individual

ALYSSA CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4605 W CRYSTAL LAKE RD, MCHENRY, IL 60050-5484
(224) 202-7114
Mailing address
PO BOX 213, ELGIN, IL 60121-0213

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.013238
IL

Other

Enumeration date
09/13/2019
Last updated
12/23/2020
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