MR. Jeremiah Frank Clark, M.S. CCC-SLP

NPI #1750656708 in Creswell, Oregon

Provider Information

NPI Number
1750656708
Entity Type
Individual
Name
MR. Jeremiah Frank Clark, M.S. CCC-SLP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
M.S. CCC-SLP
Enumeration Date
Mar 8, 2012
Last Updated
Mar 8, 2012

Practice Location

Address
74 N 3RD ST
State
Oregon
ZIP Code
97426-9649
Phone
(541) 221-1262

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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