Individual
MALLORY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2552 S CHURCH ST, MURFREESBORO, TN 37127-7135
(615) 893-2313
Mailing address
2552 S CHURCH ST, MURFREESBORO, TN 37127-7135
(615) 893-2313
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4511
TN
Other
Enumeration date
06/02/2015
Last updated
03/05/2024
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