Individual
CAMILLE ANN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
59241 REBEL DR, SLIDELL, LA 70461-3713
(985) 641-6510
Mailing address
59241 REBEL DR, SLIDELL, LA 70461-3713
(985) 641-6510
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
LA
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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