Lamont L. Clark M.A.-CCC-SLP

NPI 1790844579 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1790844579
Gender Male
Enumeration Date 12/07/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
940 N JEFFERSON AVE
SPRINGFIELD MO, 65802-3718, US
Phone (417) 773-0384
Fax
Business Location
3725 N FARM ROAD 79
WILLARD MO, 65781-8155, US
Phone (417) 773-0384
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Missouri
License Number 0296200
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According to our database, Mr. Lamont L. Clark M.A.-CCC-SLP NPI is 1790844579, taxonomy code is 235Z00000X and license number is 0296200, license state is located at Missouri. Lamont L. Clark M.A.-CCC-SLP physically located at 940 N Jefferson Ave, Springfield MO, 65802-3718. NPI Number Lamont L. Clark M.A.-CCC-SLP has the Individual type.

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1790844579 NPI number is provided on an as is basis without warranty of any kind. 1790844579 is maintained by the National Plan & Provider Enumeration System. The contents of Lamont L. Clark M.A.-CCC-SLP are for informational purposes only.