Jill M Clark, CCC-SLP

NPI #1922368075 in Hiram, Georgia

Provider Information

NPI Number
1922368075
Entity Type
Individual
Name
Jill M Clark, CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
CCC-SLP
Enumeration Date
May 23, 2012
Last Updated
Oct 25, 2019

Practice Location

Address
147 TRAILSIDE CIR
City
Hiram
State
Georgia
ZIP Code
30141-3277
Phone
(229) 873-1535

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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