Lisa M. Clark
Lisa M. Clark is an Early Intervention Provider Agency in Calumet City, Illinois. Licensed in Indiana. Registered with an NPI since 2011.
- Licensed in
- IN
- In the registry since
- 2011
Practice location Address checks out
11 Elizabeth StCalumet City, IL 60409-5252
Phone: (707) 868-0795
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X · Licence 22005039A (IN) |
|---|
Record details
| NPI number | 1346533635 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lisa Clark — Speech-Language Pathologist · (708) 868-0795 |
| NPI enumerated | May 19, 2011 |
| Last updated in NPPES | May 19, 2011 |
| Mailing address | 11 Elizabeth St, Calumet City, IL 60409-5252 |
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