Individual
TALLIYA RENECE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S, C-SLPA
Contact information
Practice address
845 CHURCH ST N, CONCORD, NC 28025-4300
(704) 258-7031
Mailing address
745 NC 24 27 BYP E P.O. BOX 11, ALBEMARLE, NC 28001-5349
(470) 363-9233
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
0795
NC
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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