Individual
MRS. LORI MACDONALD CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1413 LASKIN RD, VIRGINIA BEACH, VA 23451-6007
(757) 408-2724
Mailing address
605 GLENBROOK CT, VIRGINIA BEACH, VA 23452-4505
(757) 408-2724
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007691
VA
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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