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Individual

DR. MAYA R CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
11550 ABERCORN ST, SAVANNAH, GA 31419-1902
(912) 927-5096
(912) 927-5097
Mailing address
47 DUNNOMAN DR, SAVANNAH, GA 31419-8125

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006487
GA

Other

Enumeration date
11/13/2007
Last updated
11/13/2007
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