Individual
TAYLOR CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1509 WILLOWROSS DR, LEWISVILLE, TX 75077-3705
(409) 626-4474
Mailing address
1509 WILLOWROSS DR, LEWISVILLE, TX 75077-3705
(409) 626-4474
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
39489
TX
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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