Individual
KAELA ANN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 WRIGHTSVILLE AVE STE 120, WILMINGTON, NC 28403-6256
(980) 521-4301
Mailing address
PO BOX 9804, GREENSBORO, NC 27429-0804
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14792
NC
Other
Enumeration date
06/13/2021
Last updated
02/15/2023
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