Individual
LAEKIN L CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2121 N 1700 W, LAYTON, UT 84041-8803
(801) 773-4840
Mailing address
37 W 100 S APT 101, BOUNTIFUL, UT 84010-6292
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12127283-4102
UT
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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