Individual
LAURA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
20 W FRAZIER ST, SMYRNA, DE 19977-1416
(302) 653-2758
Mailing address
300 ISABELLE ISLE APT 101, DOVER, DE 19904-5293
(814) 897-6721
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
O1-0001590
DE
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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