Individual
MR. LAMONT L. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.-CCC-SLP
Contact information
Practice address
940 N JEFFERSON AVE, SPRINGFIELD, MO 65802-3718
(417) 773-0384
Mailing address
3725 N FARM ROAD 79, WILLARD, MO 65781-8155
(417) 773-0384
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0296200
MO
Other
Enumeration date
12/07/2006
Last updated
07/08/2007
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