Individual
EMILY BURZYNSKI CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
210 S. PARK ST, FRIENDSHIP, WI 53934
(608) 339-3361
Mailing address
P.O. BOX 130, 201 S. PARK ST. VILLA PINES LIVING CENTER, FRIENDSHIP, WI 53934
(608) 339-3361
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3558-154
WI
Other
Enumeration date
07/19/2011
Last updated
01/17/2013
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