Individual
COURTLYNN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6900 S ORANGE BLOSSOM TRL STE 102, ORLANDO, FL 32809-5734
(321) 445-1287
Mailing address
C/O: ALYSSA TAYLOR, 2428 LAKE VISTA CT #210, CASSELBERRY, FL 32707
(541) 740-1444
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI4980
FL
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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