Individual
DANIELLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
135 8TH AVE, CLEAR LAKE, WI 54005-8522
(715) 263-2117
Mailing address
135 8TH AVE, CLEAR LAKE, WI 54005-8522
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1001461607
WI
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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