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1437393469
ELIZABETH LARSON CLARK
SUWANEE, GA
NPI
1437393469
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: GA SLP007062)
Enumeration Date
2009-04-21
Last Update Date
2009-04-21
Business Address
ELIZABETH LARSON CLARK
4760 DARTMOORE LN
SUWANEE, GA 30024-3340
Phone number: 678-947-5239
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Mailing Address
ELIZABETH LARSON CLARK
4760 DARTMOORE LN
SUWANEE, GA 30024-3340
Phone number: 678-947-5239
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