Individual
CAILLOUET CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
201 S ROGERS RD, APT F84, HOT SPRINGS, AR 71913-6154
(870) 816-8737
Mailing address
201 S ROGERS RD, APT F84, HOT SPRINGS, AR 71913-6154
(870) 816-8737
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#P8999
AR
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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