Individual
DR. STACY SUZANNE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
6 EBCO CIRCLE, WAYNESBORO, VA 22980
(540) 946-2311
(540) 946-2312
Mailing address
6 EBCO CIRCLE, WAYNESBORO, VA 22980
(540) 946-2311
(540) 946-2312
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104555884
VA
Other
Enumeration date
05/23/2006
Last updated
12/30/2014
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