Individual
MRS. STEPHANIE LYNN SMITH-WHYBARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
4060 N MAIN ST, SUITE106, RACINE, WI 53402-3121
(262) 635-0525
(262) 639-0524
Mailing address
4060 N MAIN ST STE 106, RACINE, WI 53402-3121
(262) 635-0525
(262) 639-0524
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
448-055
WI
Other
Enumeration date
05/21/2007
Last updated
11/05/2018
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