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1144786161
DANITA CLARK
ATLANTA, GA
NPI
1144786161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2019-02-14
Last Update Date
2019-02-14
Business Address
DANITA CLARK
250 GEORGIA AVE SE
ATLANTA, GA 30312-3046
Phone number: 985-774-6262
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Mailing Address
DANITA CLARK
1825 PARKER RD SE APT 510
CONYERS, GA 30094-2663
Phone number:
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