Individual
STEPHANIE CLARK-WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
402 DICEY FORD RD STE F, CAMDEN, SC 29020-2448
(803) 310-8847
(803) 572-4318
Mailing address
402 DICEY FORD RD STE F, CAMDEN, SC 29020-2448
(803) 310-8847
(803) 572-4318
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
IHCP-0257
SC
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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