Individual
KELLY BOYD CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
111 PIEDMONT AVE, GIBSONVILLE, NC 27249-2450
(336) 901-6152
Mailing address
111 PIEDMONT AVE, GIBSONVILLE, NC 27249-2450
(336) 901-6152
(336) 901-6152
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6586
NC
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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