Mariola D Clark, MS CCC-SLP
NPI #1245456409 in Roswell, New Mexico
Provider Information
- NPI Number
- 1245456409
- Entity Type
- Individual
- Name
- Mariola D Clark, MS CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS CCC-SLP
- Enumeration Date
- Apr 17, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 412 N RICHARDSON AVE
- City
- Roswell
- State
- New Mexico
- ZIP Code
- 88201-4731
- Phone
- (505) 623-2615
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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