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Madeline Grace Clark
Speech-Language Assistant in Brookeland, Texas
NPI 1568179299

Madeline Grace Clark is a Speech-Language Assistant based in Brookeland, TX and is specialized in Speech-Language Assistant. Madeline Grace Clark practices in Brookeland, TX. The NPI Number for Madeline Grace Clark is 1568179299 and holds a License No. 42187 (Texas).

The current practice location address for Madeline Grace Clark is 3989 Fm 1007, Brookeland, TX and can be reached out via phone at 936-332-3298.

Location: 3989 Fm 1007, Brookeland, TX, 75931-4673
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568179299
Provider Name
Madeline Grace Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
3989 Fm 1007, Brookeland, TX, 75931-4673
Phone Number
936-332-3298
Fax Number
Provider Enumeration Date
11/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3989 Fm 1007
City
Brookeland
State
Texas
Zip
75931-4673
Phone Number
936-332-3298
Fax Number
person
Provider Business Mailing Address Details
Address
3989 Fm 1007
City
Brookeland
State
Texas
Zip
75931-4673
Phone Number
936-332-3298
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
2355S0801X
License No.
42187 (Texas)
Definition
Definition to come...
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