Individual
MISS BRITTANY AMBER CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
955 SAINT PETERS CHURCH RD, CHAPIN, SC 29036-8197
(803) 331-5620
(803) 345-3149
Mailing address
11081 HIGHWAY 265, JEFFERSON, SC 29718-8715
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.6034 SLP
SC
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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