Search › Illinois › 152WV0400X
Christine Clark, PH.D., TVI, DTV
NPI 1043495179 · on the registry since 2008 · sole proprietor
Practice
- Address
- 221 Woodland Ave
Bloomington, IL 61701 - Phone
- (309) 824-5841
Registry record
- Primary taxonomy
- 152WV0400X
152WV0400X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-01-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois