Individual
MAKAYLA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, CF-SLP
Contact information
Practice address
618 BOWENS MILL RD SW, DOUGLAS, GA 31533-3926
(678) 792-4894
(678) 792-4894
Mailing address
618 BOWENS MILL RD SW, DOUGLAS, GA 31533-3926
(678) 792-4894
(678) 792-4894
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET003302
GA
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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