Clark, Jill M

Clark, Jill M is an sole proprietor health care provider with primary practice located at 147 Trailside Cir , Hiram GA 30141-3277. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Clark, Jill M can be contacted via phone (229) 873-1535.

Contact Information

Primary practice address
147 Trailside Cir Hiram GA 30141-3277
Phone: (229) 873-1535
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP006990 Georgia

Profile Details

NPI number 1922368075
LBN Legal business name Clark, Jill M
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2012
Last updated Oct 25th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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