Individual
MS. STEPHANIE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
709 W BURKE ST, MARTINSBURG, WV 25401-2709
(681) 283-8534
Mailing address
709 W BURKE ST, MARTINSBURG, WV 25401-2709
(681) 283-8534
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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