Individual
MELISSA LYNN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
69 ALLEN ST STE 1, RUTLAND, VT 05701-4564
(802) 775-3315
(802) 775-9617
Mailing address
160 ALLEN STREET, MEDICAL STAFF OFFICE, RUTLAND, VT 05701-4650
(802) 747-3639
(802) 747-6207
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
0123131
VT
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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