KRISTA RENAE CLARK

DALTON, GA
NPI1629336490
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: GA  SLP007831)
Enumeration Date2012-04-30
Last Update Date2012-04-30
Business Address
-- KRISTA RENAE CLARK M.S. CCC-SLP
1011 PROFESSIONAL BLVD
DALTON, GA 30720-2506
Phone number: 706-226-4623
Mailing Address
-- KRISTA RENAE CLARK M.S. CCC-SLP
118 CHERRY BARK WAY UNIT 3
DALTON, GA 30721-1957
Phone number: 801-400-9559
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