Individual
CLARE BURGESS MORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4310 HIDEAWAY HOLW, RACINE, WI 53403-4413
(262) 554-1894
Mailing address
4310 HIDEAWAY HOLW, RACINE, WI 53403-4413
(262) 554-1894
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1961-154
WI
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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