Individual
CAITLIN DREW CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
1000 DEPAUL DR, JACKSONVILLE, FL 32218-5411
(904) 430-3360
Mailing address
85274 SCHUBERT RD, FERNANDINA BEACH, FL 32034-1214
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA15320
FL
Other
Enumeration date
06/01/2017
Last updated
05/01/2024
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