Individual
CHERYL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSLP/CCC
Contact information
Practice address
75 GILCREAST RD UNIT 201, LONDONDERRY, NH 03053-3564
(603) 460-4923
Mailing address
34 LISA AVE, RAYMOND, NH 03077-2040
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0908
NH
Other
Enumeration date
02/13/2008
Last updated
07/13/2020
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