Individual
SYLVIA Y CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
106 PLEASANT HOME RD STE 2K, AUGUSTA, GA 30907-0510
(706) 724-6543
(206) 350-9023
Mailing address
106 PLEASANT HOME RD STE 2K, AUGUSTA, GA 30907-0510
(706) 724-6543
(206) 350-9023
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP001072
GA
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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