Individual
ERICA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2690 LAWRENCEVILLE HWY, DECATUR, GA 30033-2520
(678) 587-5199
Mailing address
1091 LYNMOOR DR NE, BROOKHAVEN, GA 30319-4124
(404) 513-1884
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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