Individual
STEPHANIE LYNN CLOOKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6307 S OLD VILLAGE RD, COLUMBIA, MO 65203-9533
(518) 578-0623
Mailing address
6307 S OLD VILLAGE RD, COLUMBIA, MO 65203-9533
(518) 578-0623
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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