Individual
MRS. GERALDINE MARIE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.,SLP-C.C.C.
Contact information
Practice address
423 CENTRAL AVE., NORTHFIELD, ILLINOIS, IL 60093
(847) 441-9212
Mailing address
234 LEONARD WOOD S, HIGHLAND PARK, IL 60035-5919
(847) 681-8990
(847) 681-1355
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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