| NPI | 1750359808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI K CLARKE President 678-521-4692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA 003536) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-08-22 |