Search › Georgia › 235Z00000X
Jill Clark, CCC-SLP
NPI 1922368075 · on the registry since 2012 · sole proprietor
Practice
- Address
- 147 Trailside Cir
Hiram, GA 30141 - Phone
- (229) 873-1535
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-10-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia