Individual
LESLEA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.CCC-SLP
Contact information
Practice address
1155 APPLEWOOD DR, CONWAY, AR 72034-3539
(501) 318-9019
Mailing address
1155 APPLEWOOD DR, CONWAY, AR 72034-3539
(501) 318-9019
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1781
AR
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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