Individual
ASHLYNN SHA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1621 COIT RD, PLANO, TX 75075-6141
(972) 596-7930
Mailing address
2500 BENNETT AVE APT 1309, DALLAS, TX 75206-7183
(317) 946-0615
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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