Stacia Clark
Stacia Clark is a Developmental Therapist in Aurora, Illinois. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
2695 Leyland LnAurora, IL 60504-6049
Phone: (630) 209-3109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|
Record details
| NPI number | 1578828448 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 6, 2012 |
| Last updated in NPPES | July 6, 2012 |
| Mailing address | 2695 Leyland Ln, Aurora, IL 60504-6049 |
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