Individual
DR. CHAGIT EDERY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, CCC-SLP
Contact information
Practice address
5 DUNNWOODY CT, ARDEN, NC 28704-9588
(718) 781-6758
Mailing address
5 DUNNWOODY CT, ARDEN, NC 28704-9588
(718) 781-6758
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11151
NC
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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