MRS. Kerrie Lynne Clark, MSED

NPI #1033464383 in Lindenhurst, New York

Provider Information

NPI Number: 1033464383
Entity Type: Individual
Name: MRS. Kerrie Lynne Clark, MSED
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MSED
Enumeration Date: Jul 23, 2012
Last Updated: Jul 23, 2012

Practice Location

Address: 51 3RD ST
City: Lindenhurst
State: New York
ZIP Code: 11757-1324
Phone: (631) 957-2242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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