Individual
MRS. STEPHANIE RENEE CASTANEDA-CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
513 SPRING VALLEY DR, COLUMBIA, TN 38401-6115
(931) 398-0284
Mailing address
513 SPRING VALLEY DR, COLUMBIA, TN 38401-6115
(931) 398-0284
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/23/2007
Last updated
05/01/2008
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