Dominique Jolie Clark, | |
12201 Wallace Landing Ct, Upper Marlboro, MD 20772-7957 | |
(240) 417-9810 | |
Not Available |
Full Name | Dominique Jolie Clark |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 12201 Wallace Landing Ct, Upper Marlboro, Maryland |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265678502 | NPI | - | NPPES |
Mailing Address | Practice Location Address |
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Dominique Jolie Clark, 681 Beville Rd, South Daytona, FL 32119-1951 Ph: (240) 417-9810 | Dominique Jolie Clark, 12201 Wallace Landing Ct, Upper Marlboro, MD 20772-7957 Ph: (240) 417-9810 |
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