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Individual

MYKIAH CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7985 KNIGHT RD, GAINESVILLE, GA 30506-6427
(770) 781-4899
Mailing address
10205 PARKER FOREST DR, DAWSONVILLE, GA 30534-3271
(615) 987-9851

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
GA

Other

Enumeration date
10/29/2021
Last updated
10/29/2021
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