STACIA CLARK

AURORA, IL
NPI1578828448
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2012-07-06
Last Update Date2012-07-06
Business Address
-- STACIA CLARK
2695 LEYLAND LN
AURORA, IL 60504-6049
Phone number: 630-209-3109
Mailing Address
-- STACIA CLARK
2695 LEYLAND LN
AURORA, IL 60504-6049
Phone number: 630-209-3109