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Individual

JANELLA S CLARKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
2190 WINFIELD DUNN PKWY, SEVIERVILLE, TN 37876-0502
(865) 365-4483
(865) 381-1484
Mailing address
2235 FREWIN CT, SEVIERVILLE, TN 37876-2594
(765) 441-2090
(865) 381-1484

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SP12073
OH
235Z00000X
Speech-Language Pathologist
Primary
SP7495
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
587279
AZ
Enumeration date
01/10/2011
Last updated
05/19/2022
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