Mariola D Clark, MSCCC-SLP
Mariola D Clark, MSCCC-SLP is a Speech-Language Pathologist in Roswell, New Mexico. Licensed in New Mexico. Registered with an NPI since 2007.
- Licensed in
- NM
- In the registry since
- 2007
Practice location Address checks out
412 N Richardson AveRoswell, NM 88201-4731
Phone: (505) 623-2615
Fax: (505) 622-6703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 4058 (NM) |
|---|
Record details
| NPI number | 1245456409 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MSCCC-SLP |
| Sole proprietor | No |
| NPI enumerated | April 17, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 1004 Fern Dr, Roswell, NM 88203-2580 |
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