STACEY CLARK

CORBIN, KY
NPI1528949963
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY  300934)
Enumeration Date2025-09-11
Last Update Date2025-09-11
Business Address
-- STACEY CLARK TCADC
1200 MASTER ST
CORBIN, KY 40701-2502
Phone number: 606-280-4000
Mailing Address
-- STACEY CLARK TCADC
PO BOX 2634
CORBIN, KY 40702-2634
Phone number: 606-280-4000
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