Individual
MRS. MARY FRANCES CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD
Contact information
Practice address
825 W WASHINGTON ST, EUFAULA, AL 36027-1847
(334) 688-7155
(334) 616-7615
Mailing address
PO BOX 242007, MONTGOMERY, AL 36124-2007
(334) 396-3273
(334) 396-4905
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3014
AL
Other
Enumeration date
02/24/2011
Last updated
02/24/2011
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