Individual
RACHAEL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1051 LANTRIP RD, SHERWOOD, AR 72120-4161
(501) 833-1912
Mailing address
3565 AUSTELL RD SW, SUITE 11, MARIETTA, GA 30008-5769
(770) 319-8000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2013AR
AR
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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