Individual
MRS. BROOKE RENEE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
3600 NE RALPH POWELL RD STE E, LEES SUMMIT, MO 64064-2313
(816) 228-8393
(816) 293-9192
Mailing address
1117 SE BROWNFIELD DR, LEES SUMMIT, MO 64081-3009
(816) 518-3299
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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