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1083910624
SHANI CLARK
LAWRENCEVILLE, GA
NPI
1083910624
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA PCET001624)
Enumeration Date
2011-01-30
Last Update Date
2011-01-30
Business Address
Mrs. SHANI CLARK MS SLP
3100 CLUB DR
LAWRENCEVILLE, GA 30044-2591
Phone number: 770-923-3100
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Mailing Address
Mrs. SHANI CLARK MS SLP
3100 CLUB DR
LAWRENCEVILLE, GA 30044-2591
Phone number:
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