Lisa M. Clark
NPI #1346533635 in Calumet City, Illinois
Provider Information
- NPI Number
- 1346533635
- Entity Type
- Organization
- Organization Name
- Lisa M. Clark
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- May 19, 2011
- Last Updated
- May 19, 2011
Practice Location
- Address
- 11 ELIZABETH ST
- City
- Calumet City
- State
- Illinois
- ZIP Code
- 60409-5252
- Phone
- (707) 868-0795
Authorized Official
- Name
- MRS. LISA MICHELLE CLARK, M.S.
- Title
- SPEECH-LANGUAGE PATHOLOGIST
- Phone
- (708) 868-0795
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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