Individual
CHERYL DENISE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT,MMP
Contact information
Practice address
8011 N POINT BLVD, WINSTON SALEM, NC 27106-3879
(336) 354-8337
Mailing address
PO BOX 11631, WINSTON SALEM, NC 27116-1631
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13552
NC
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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