Individual
MICHELE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC,SLP
Contact information
Practice address
245 LAWN MARKET, SHARPSBURG, GA 30277-1511
(678) 591-0041
(770) 463-3248
Mailing address
PO BOX 478, TYRONE, GA 30290-0478
(678) 591-0041
(770) 463-3248
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP001439
GA
Other
Enumeration date
02/23/2007
Last updated
07/09/2007
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