MRS. Lisa G Clark

NPI #1548694383 in Mattoon, Illinois

Provider Information

NPI Number
1548694383
Entity Type
Individual
Name
MRS. Lisa G Clark
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Aug 28, 2013
Last Updated
Aug 29, 2013

Practice Location

Address
2405 CHAMPAIGN AVE
ZIP Code
61938-2646
Phone
(217) 238-8800

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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