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1174023980
STACINA ELIZABETH CLARK
HAVERTOWN, PA
NPI
1174023980
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: PA PC009950)
Enumeration Date
2018-02-19
Last Update Date
2018-02-19
Business Address
MRS. STACINA ELIZABETH CLARK LPC
2000 OLD WEST CHESTER PIKE
HAVERTOWN, PA 19083-2712
Phone number: 484-454-8700
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Mailing Address
MRS. STACINA ELIZABETH CLARK LPC
222 BLANCHARD RD
DREXEL HILL, PA 19026-2807
Phone number: 215-284-8500
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