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Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAUREN HAYES CLARK M.S. CCC-SLP (OWNER/SPEECH PATHOLOGIST)
(410) 713-0176
Entity
Organization

Contact information

Practice address
3808 SURRY RD, VIRGINIA BEACH, VA 23455-1624
(410) 713-0176
(757) 578-8656
Mailing address
3808 SURRY RD, VIRGINIA BEACH, VA 23455-1624

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
09/23/2022
Last updated
09/23/2022
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