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Individual

DONYALE CLARKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A. CCC-SLP

Contact information

Practice address
505 SANDHILL RD, NESMITH, SC 29580-3252
(803) 384-0522
Mailing address
PO BOX 753, ANDREWS, SC 29510-0753
(803) 384-0522

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5545
SC

Other

Enumeration date
01/20/2016
Last updated
01/20/2016
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