Individual
HEATHER MICHELLE CLOUGHERTY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1201 W ELIZABETH ST, CLINTON, NC 28328-4822
(919) 280-6138
Mailing address
406 STEWART AVE, CLINTON, NC 28328-2937
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
762
NC
Other
Enumeration date
06/18/2006
Last updated
07/08/2007
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