Individual
ANNA PFAU CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
6776 LAKE DR STE 220, LINO LAKES, MN 55014-1192
(651) 784-7007
Mailing address
6776 LAKE DR STE 220, LINO LAKES, MN 55014-1192
(651) 784-7007
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9766
MN
Other
Enumeration date
09/09/2016
Last updated
06/17/2022
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