MRS. Alison Ilene Clark

NPI #1366629420 in Monmouth, Illinois

Provider Information

NPI Number
1366629420
Entity Type
Individual
Name
MRS. Alison Ilene Clark
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Developmental Therapist
Enumeration Date
Jan 30, 2008
Last Updated
Jan 30, 2008

Practice Location

Address
1220 E 2ND AVE
ZIP Code
61462-2404
Phone
(309) 734-7902

Specialties & Taxonomy Codes

Specialty
Developmental Therapist

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