Individual
REBECCA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2795 CHARLES BRYAN RD, BARTLETT, TN 38134-4773
(870) 735-5174
Mailing address
5546 ELMORE RD, BARTLETT, TN 38134-5712
(901) 734-9589
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
10/19/2022
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