Individual
TANYA SYKES-CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
6179 CHASTAIN WAY, FAIRBURN, GA 30213
(404) 421-2896
Mailing address
6179 CHASTAIN WAY, FAIRBURN, GA 30213-2479
(404) 421-2896
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008919
GA
Other
Enumeration date
07/13/2015
Last updated
10/15/2018
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