Sheila Renee Clark CCC

NPI 1720094253 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1720094253
Gender Female
Enumeration Date 08/01/2006
Last Updated 05/27/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
2450 RIVERSIDE AVE
MINNEAPOLIS MN, 55454-1450, US
Phone (952) 924-1340
Fax
Business Location
2450 RIVERSIDE AVE
MINNEAPOLIS MN, 55454-1450, US
Phone
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Minnesota
License Number 7331
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According to our database, Sheila Renee Clark CCC NPI is 1720094253, taxonomy code is 235Z00000X and license number is 7331, license state is located at Minnesota. Sheila Renee Clark CCC physically located at 2450 Riverside Ave, Minneapolis MN, 55454-1450. NPI Number Sheila Renee Clark CCC has the Individual type.

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1720094253 NPI number is provided on an as is basis without warranty of any kind. 1720094253 is maintained by the National Plan & Provider Enumeration System. The contents of Sheila Renee Clark CCC are for informational purposes only.