CHARLES CLARK

CROSSVILLE, TN
NPI1629312400
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: TN  1522)
Enumeration Date2012-11-19
Last Update Date2012-11-19
Business Address
-- CHARLES CLARK
368 FOURTH ST
CROSSVILLE, TN 38555-4309
Phone number: 423-622-1551
Mailing Address
-- CHARLES CLARK
368 FOURTH ST
CROSSVILLE, TN 38555-4309
Phone number: 423-622-1551
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