STACIE CLARK

TRACY, CA
NPI1235352279
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFC 41753)
Additional Taxonomies106H00000X Marriage & Family Therapist
(Licence: CA  LMFT41753)
Enumeration Date2007-04-10
Last Update Date2023-11-29
Business Address
Ms. STACIE CLARK LMFT
19 E 6TH ST
TRACY, CA 95376-4107
Phone number: 209-835-8583
Mailing Address
Ms. STACIE CLARK LMFT
19 E 6TH ST
TRACY, CA 95376-4107
Phone number: 209-835-8583