Individual
MS. STACIA ANNE CLINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD.
Contact information
Practice address
500 FRANKLIN VILLAGE DR, SUITE 106, FRANKLIN, MA 02038-4017
(860) 798-8645
Mailing address
51 ALFRED DR, TOLLAND, CT 06084-3140
(860) 798-8645
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
NU 2590
MA
Other
Enumeration date
10/12/2007
Last updated
10/12/2007
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