Individual
BRIDGET CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
128 ATLANTA WAY, BOWLING GREEN, KY 42103-7093
(270) 320-4530
Mailing address
128 ATLANTA WAY, BOWLING GREEN, KY 42103-7093
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4152
KY
Other
Enumeration date
01/02/2015
Last updated
01/02/2015
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