Individual
MRS. JOAN KAY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1095 PINGREE RD, SUITE 119, CRYSTAL LAKE, IL 60014-1725
(847) 458-8890
Mailing address
975 SARASOTA LN, CRYSTAL LAKE, IL 60014-8317
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
IL
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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