STACY CLARK

CHICAGO, IL
NPI1053625764
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: IL  071.007953)
Enumeration Date2010-08-05
Last Update Date2014-10-28
Business Address
-- STACY CLARK Ph.D.
25 E WASHINGTON ST 1719
CHICAGO, IL 60602-1708
Phone number: 773-263-0003
Mailing Address
-- STACY CLARK Ph.D.
25 E WASHINGTON ST 1791
CHICAGO, IL 60602-1708
Phone number: 773-263-0003
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