Individual
SHARON CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 COVE BRIDGE RD, 101, RALEIGH, NC 27604-8716
(919) 332-2594
(919) 373-0845
Mailing address
1115 COVE BRIDGE RD, 101, RALEIGH, NC 27604-8716
(919) 332-2594
(919) 373-0845
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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