Individual
KRISTIN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
3207 ROSEMONT DR, CHATTANOOGA, TN 37411-4219
(423) 622-1551
(423) 622-1556
Mailing address
3207 ROSEMONT DR, CHATTANOOGA, TN 37411-4219
(423) 622-1551
(423) 622-1556
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4379
TN
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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