Lola Gene Clark, MS/CCC-SLP

NPI #1477991172 in Fort Myers Beach, Florida

Provider Information

NPI Number
1477991172
Entity Type
Individual
Name
Lola Gene Clark, MS/CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
MS/CCC-SLP
Enumeration Date
Jun 5, 2013
Last Updated
Jun 5, 2013

Practice Location

Address
4560 ESTERO BLVD
Address 2
#202
State
Florida
ZIP Code
33931-3947
Phone
(260) 437-2385

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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