Individual
CHERYL CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
510 CARPENTER AVE, MOORESVILLE, NC 28115-2512
(704) 663-2115
(704) 663-2730
Mailing address
510 CARPENTER AVE, MOORESVILLE, NC 28115-2512
(704) 663-2115
(704) 663-2730
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7898
NC
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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